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Organization
STEVEN DELISLE DDS P.C.
Active
Organization
STEVEN DELISLE DDS P.C.
Active
Other names
Sedation Dental Center Of Las Vegas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN DELISLE DDS (OWNER)
(425) 306-2579
Entity
Organization
Contact information
Practice address
4080 N MARTIN L KING BLVD, SUITE 101 B, N LAS VEGAS, NV 89032-3216
(425) 306-2579
(888) 583-4140
Mailing address
2480 E TOMPKINS AVE, SUITE 102, LAS VEGAS, NV 89121-7394
(425) 306-2579
(888) 583-4140
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
10/20/2009
Last updated
09/19/2016
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