# STEVEN DELISLE DDS P.C.

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

## Provider details

- **NPI number:** 1720495872
- **Authorized official:** STEVEN DELISLE (OWNER)
- **Authorized official phone:** (425) 306-2579

## Contact information

- **Practice address:** 4080 N MLK BLVD STE 101B, NORTH LAS VEGAS, NV 89032-3217
- **Practice address phone:** (425) 306-2579
- **Mailing address:** 4080 N MLK BLVD STE 101B, NORTH LAS VEGAS, NV 89032-3217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5929 | NV | Yes |

## Other

- **Enumeration date:** 07/21/2014
- **Last updated:** 07/21/2014