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Organization
STEVEN DELISLE DDS PC
Active
Organization
STEVEN DELISLE DDS PC
Active
Other names
sedation dental center of las vegas
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DELISLE DDS (OWNER)
(702) 489-5460
Entity
Organization
Contact information
Practice address
4090 N MARTIN L KING BLVD, NORTH LAS VEGAS, NV 89032-3218
(702) 489-5460
Mailing address
4090 N MARTIN L KING BLVD, NORTH LAS VEGAS, NV 89032-3218
(702) 489-5460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5929
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22
—
NV
Enumeration date
03/11/2014
Last updated
03/11/2014
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