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Organization
STEVEN DELISLE PLLC
Active
Organization
STEVEN DELISLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DELISLE DDS (OWNER)
(425) 306-2579
Entity
Organization
Contact information
Practice address
2585 S JONES BLVD STE 1A, LAS VEGAS, NV 89146-5604
(702) 489-5460
Mailing address
2585 S JONES BLVD STE 1A, LAS VEGAS, NV 89146-5604
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5929
NV
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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