John B. Dale, Dmd, Ms, P.C. Valid NPI

Organization · Endodontics · Peoria, IL

NPI

1275606592

Type

Organization (Type 2)

Primary specialty

Endodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223E0200X

License number

021.002048 (IL)

Enumerated

2006-11-16

Last updated

2012-01-30