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Organization
SALAR AND DELISLE LLC
Active
Organization
SALAR AND DELISLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DELISLE DDS (OWNER)
(425) 306-2579
Entity
Organization
Contact information
Practice address
3351 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-7977
(425) 306-2579
Mailing address
3351 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-7977
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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