Organization
STEVEN DELISLE DDS P.C.
Active
Other names
Sedation Dental Center Of Las Vegas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN DELISLE DDS (OWNER)
(425) 306-2579
Entity
Organization
Contact information
Practice address
4080 N MARTIN L KING BLVD, SUITE 101 B, N LAS VEGAS, NV 89032-3216
(425) 306-2579
(888) 583-4140
Mailing address
2480 E TOMPKINS AVE, SUITE 102, LAS VEGAS, NV 89121-7394
(425) 306-2579
(888) 583-4140
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
10/20/2009
Last updated
09/19/2016
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