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Contact Information

DAVID D DALISE, DDS
8500 WAHINGTON ST NE
STE A1
ALBUQUERQUE, NM87113
 Phone: 505-293-0025
 Fax: 050-293-0447
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DAVID D DALISE · (Male)

NPI # 1467697094
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/11/2008
Last updated 12/11/2008 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # DD834
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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