# STEVEN DELISLE DDS P.C.

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

## Provider details

- **NPI number:** 1902299118
- **Authorized official:** STEVEN DELISLE (OWNER)
- **Authorized official phone:** (425) 306-2579

## Contact information

- **Practice address:** 1420 US HIGHWAY 95A N, FERNLEY, NV 89408-7724
- **Practice address phone:** (425) 306-2579
- **Mailing address:** 4090 N MLK BLVD, NORTH LAS VEGAS, NV 89032-3218
- **Mailing address phone:** (425) 306-2579

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2015
- **Last updated:** 03/12/2015