DR. MARY DI LISIO, DMD

Dentist

Active Individual
NPI: 1710504097

Practice Address

618 SAINT LOUIS ST
Edwardsville, IL 62025

Phone: (618) 656-7111

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 019032708 (IL)

Frequently Asked Questions

NPI 1710504097 is the National Provider Identifier for DR. MARY DI LISIO, DMD, a Dentist provider located in Edwardsville, IL. This NPI was enumerated on July 2, 2020.
DR. MARY DI LISIO, DMD practices at 618 SAINT LOUIS ST, Edwardsville, IL 62025.

Quick Facts

NPI
1710504097
Type
Individual
Enumerated
Jul 2, 2020
Last Updated
Jul 2, 2020

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