Most Relevant Information
Provider Data
| NPI Number: | 1003823501 |
| Provider Name: | DALE EDWIN BRANDON DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | D19330 |
Most Important Dates
| Enumeration Date: | 08/01/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
18700 MAIN ST
SUITE 203
HUNTINGTON BEACH
CA
926481714
Practice Location Phone/Fax
| Phone: | 7143757222 |
| Fax: | 7143759612 |
Provider Mailing Location
18700 MAIN ST
SUITE 203
HUNTINGTON BEACH
CA
926481714
Provider Mailing Phone/Fax
| Phone: | 7143757222 |
| Fax: | 7143759612 |