Organization
STEVEN DELISLE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ELIOT DELISLE (OWNER)
(425) 306-2579
Entity
Organization
Contact information
Practice address
6415 S FORT APACHE RD STE 150, LAS VEGAS, NV 89148-6749
(702) 710-0801
Mailing address
2480 E TOMPKINS AVE STE 102, LAS VEGAS, NV 89121-5466
(702) 524-5732
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5929
NV
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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