Individual
DR. CHARLES ROBERT DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3002 HARBORVIEW DR, GIG HARBOR, WA 98335-1962
(253) 851-2050
Mailing address
3002 HARBORVIEW DR, GIG HARBOR, WA 98335-1962
(253) 851-2050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1642
WA
152W00000X
Optometrist
169
WY
152W00000X
Optometrist
1758ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004588
—
WA
Enumeration date
01/27/2007
Last updated
07/09/2007
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