Organization
STEVEN DELISLE DDS PC
Active
Other names
sedation dental center of las vegas
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DELISLE DDS (OWNER)
(702) 489-5460
Entity
Organization
Contact information
Practice address
4090 N MARTIN L KING BLVD, NORTH LAS VEGAS, NV 89032-3218
(702) 489-5460
Mailing address
4090 N MARTIN L KING BLVD, NORTH LAS VEGAS, NV 89032-3218
(702) 489-5460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5929
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22
—
NV
Enumeration date
03/11/2014
Last updated
03/11/2014
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