| NPI | 1972712354 |
|---|---|
| Former Legal Business Name | DALE N HOLDREN MD INC |
| Entity Type | Organization |
| Authorized Contact | DALE N HOLDREN Owner President 360-377-3703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD00031837) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00003606) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-03-31 |