Organization
WILLIAM C. DALE, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CHARLES DALE III (SOLE MEMBER)
(636) 928-1167
Entity
Organization
Contact information
Practice address
4200 N CLOVERLEAF DR, STE. Q, SAINT PETERS, MO 63376-6436
(636) 928-1167
Mailing address
4200 N CLOVERLEAF DR, STE. Q, SAINT PETERS, MO 63376-6436
(636) 928-1167
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
014742
MO
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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