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Organization
STEVEN DELISLE DENTAL CORPORATION
Active
Organization
STEVEN DELISLE DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DELISLE (OWNER)
(425) 306-2579
Entity
Organization
Contact information
Practice address
3023 BUNKER HILL ST, 105, SAN DIEGO, CA 92109-5706
(425) 306-2579
Mailing address
3023 BUNKER HILL ST, 105, SAN DIEGO, CA 92109-5706
(425) 306-2579
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56563
CA
Other
Enumeration date
10/07/2015
Last updated
05/02/2016
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