Individual
DR. DONALD CHARLES DELISI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
19785 VILLAGE OFFICE CT STE 102, BEND, OR 97702-1944
(541) 383-6515
(541) 383-1488
Mailing address
2584 NE KEVOS POND DR, POULSBO, WA 98370-6320
(360) 649-7625
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D7889
OR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DE00010134
WA
Other
Enumeration date
03/14/2006
Last updated
03/09/2020
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