DR. Mary Elizabeth Di Lisio, DMD
NPI #1710504097 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1710504097
- Entity Type
- Individual
- Name
- DR. Mary Elizabeth Di Lisio, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jul 2, 2020
- Last Updated
- Jul 2, 2020
Practice Location
- Address
- 618 SAINT LOUIS ST
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-1504
- Phone
- (618) 656-7111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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