Organization
JOHN B. DALE, DMD, MS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRUCE DALE D.M.D., M.S. (DOCTOR)
(309) 691-9100
Entity
Organization
Contact information
Practice address
7314 N WILLOW LAKE CT, SUITE A, PEORIA, IL 61614-8277
(309) 691-9100
(309) 691-6755
Mailing address
7314 N WILLOW LAKE CT, SUITE A, PEORIA, IL 61614-8277
(309) 691-9100
(309) 691-6755
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
021.002048
IL
Other
Enumeration date
11/16/2006
Last updated
01/30/2012
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