# STEVEN DELISLE DDS PC

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

## Provider details

- **NPI number:** 1881106326
- **Authorized official:** STEVEN ELIOT DELISLE (OWNER)
- **Authorized official phone:** (425) 306-2579

## Contact information

- **Practice address:** 6415 S FORT APACHE RD STE 150, LAS VEGAS, NV 89148-6749
- **Practice address phone:** (702) 710-0801
- **Mailing address:** 2480 E TOMPKINS AVE STE 102, LAS VEGAS, NV 89121-5466
- **Mailing address phone:** (702) 524-5732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5929 | NV | Yes |

## Other

- **Enumeration date:** 10/24/2017
- **Last updated:** 10/24/2017