DR. David Dominic Dalise, DDS

NPI #1467697094 in Albuqurque, New Mexico

Provider Information

NPI Number: 1467697094
Entity Type: Individual
Name: DR. David Dominic Dalise, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 11, 2008
Last Updated: Dec 11, 2008

Practice Location

Address: 8500 WAHINGTON ST NE
Address 2: STE A1
City: Albuqurque
State: New Mexico
ZIP Code: 87113
Phone: (505) 293-0025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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