# SALAR AND DELISLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275017337
- **Authorized official:** BEHNAM SALAR DMD (MANAGING MEMBER)
- **Authorized official phone:** (310) 968-0562

## Contact information

- **Practice address:** 75 MOUNT ROSE ST STE A, RENO, NV 89509-3426
- **Practice address phone:** (775) 971-4252
- **Mailing address:** 75 MOUNT ROSE ST STE A, RENO, NV 89509-3426
- **Mailing address phone:** (775) 971-4252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |

## Other

- **Enumeration date:** 09/24/2018
- **Last updated:** 09/24/2018