Organization
STEVEN DELISLE DDS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DELISLE (OWNER)
(425) 306-2579
Entity
Organization
Contact information
Practice address
4080 N MLK BLVD STE 101B, NORTH LAS VEGAS, NV 89032-3217
(425) 306-2579
Mailing address
4080 N MLK BLVD STE 101B, NORTH LAS VEGAS, NV 89032-3217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5929
NV
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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