Individual
DR. DALE C WHILDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
64 MAIN AVE, OCEAN GROVE, NJ 07756-1319
(732) 774-8700
Mailing address
7 BROADWAY, OCEAN GROVE, NJ 07756-1303
(732) 774-4321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12295
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223825713
TAX ID
NJ
Enumeration date
02/20/2007
Last updated
07/08/2007
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