| NPI | 1023272119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD CHARLES DELISI President 541-383-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |