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Dr. Charles Robert Dale, O.D.

Optometrist in Gig Harbor, WA. Individual provider (NPI-1).

NPI number1497801633
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1497801633
Entity type
Individual (NPI-1)
Name
Dr. Charles Robert Dale
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 27, 2007
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist1642WAYes
152W00000X Optometrist1758ATIOR
152W00000X Optometrist169WY

Practice location

3002 Harborview Dr
Gig Harbor, WA 98335-1962

Phone 253-851-2050

Mailing address

3002 Harborview Dr
Gig Harbor, WA 98335-1962

Phone 253-851-2050

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