| NPI | 1023290749 |
|---|---|
| Doing Business As | DALE'S SHOES |
| Entity Type | Organization |
| Authorized Contact | RUSSELL DOTSON Vice President/General Manager 386-252-2138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ped-148) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-05-07 |