# STEVEN DELISLE DDS PC

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

## Provider details

- **NPI number:** 1437661972
- **Authorized official:** CINDY RODRIGUEZ (COO)
- **Authorized official phone:** (702) 524-5732

## Contact information

- **Practice address:** 6325 E RUSSELL RD STE 100, LAS VEGAS, NV 89122-7072
- **Practice address phone:** (702) 524-5732
- **Mailing address:** 2480 E TOMPKINS AVE STE 102, LAS VEGAS, NV 89121-5466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5929 | NV | Yes |

## Other

- **Enumeration date:** 10/24/2017
- **Last updated:** 10/24/2017
