| Brian J. Delisle, Dds, Pa | |
|
11414 Seminole Blvd Ste 2 Largo FL 33778-3200 | |
| (727) 398-5829 | |
| Not Available |
| Full Name | Brian J. Delisle, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11414 Seminole Blvd Ste 2, Largo, Florida |
| Authorized Official Name and Position | Brian J. Delisle (PRESIDENT) |
| Authorized Official Contact | 7273985829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian J. Delisle, Dds, Pa 11414 Seminole Blvd Ste 2 Largo FL 33778-3200 Ph: (727) 398-5829 | Brian J. Delisle, Dds, Pa 11414 Seminole Blvd Ste 2 Largo FL 33778-3200 Ph: (727) 398-5829 |
| NPI Number | 1275742538 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 11/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275742538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0011245 (Florida) | Primary |
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