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Galen Dale, D.D.S
NPI 1376566026 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1504 Patton Dr
Suite #1
Mahomet, IL 61853 - Phone
- (217) 586-4922
- Organisation at this address
- Champion Fitness, Inc
Gibson Community Hospital Association
Gibson Community Hospital AssociationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois