| NPI | 1588633515 |
|---|---|
| Other Name | DONALD CHARLES DELISI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: OR D7889) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: WA DE00010134) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-03-09 |