Dalise, David Dominic

Dalise, David Dominic is an sole proprietor health care provider with primary practice located at 8500 Wahington St Ne Ste A1, Albuqurque NM 87113. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Dalise, David Dominic can be contacted via phone (505) 293-0025.

Contact Information

Primary practice address
8500 Wahington St Ne Ste A1 Albuqurque NM 87113
Phone: (505) 293-0025
Fax: (050) 293-0447
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DD834 New Mexico

Profile Details

NPI number 1467697094
LBN Legal business name Dalise, David Dominic
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2008
Last updated Dec 11th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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