Organization
STEVEN DELISLIE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN DELISLE (OWNER)
(425) 306-2579
Entity
Organization
Contact information
Practice address
1420 E HIGHWAY 372, PAHRUMP, NV 89048-2145
(425) 306-2579
Mailing address
1420 E HIGHWAY 372, PAHRUMP, NV 89048-2145
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5929
NV
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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