Individual
DR. GALEN L. DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1504 PATTON DR, SUITE #1, MAHOMET, IL 61853-8113
(217) 586-4922
Mailing address
PO BOX 950, MAHOMET, IL 61853-0950
(217) 586-4922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-017376
IL
Other
Enumeration date
07/25/2006
Last updated
07/06/2010
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