Steven Delisle DDS P.c.

NPI #1023401130 in Las Vegas, Nevada

Provider Information

NPI Number: 1023401130
Entity Type: Organization
Organization Name: Steven Delisle DDS P.c.
Primary Specialty: Dentist
Enumeration Date: Mar 13, 2015
Last Updated: Mar 13, 2015

Practice Location

Address: 2585 S JONES BLVD
Address 2: 1B
City: Las Vegas
State: Nevada
ZIP Code: 89146-5627
Phone: (425) 306-2579

Authorized Official

Name: STEVEN DELISLE, DDS
Title: OWNER
Phone: (425) 306-2579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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