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Individual

MRS. DANIELLE ANN DALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
2383 FRONT ST, CASHTON, WI 54619
(608) 435-6905
Mailing address
1904 BUOL DR, BANGOR, WI 54614-8823
(608) 780-2009

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10284-016
WI

Other

Enumeration date
02/28/2013
Last updated
02/28/2013
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