Steven Delisle Dental Corporation

NPI #1184079931 in Beverly Hills, California

Provider Information

NPI Number: 1184079931
Entity Type: Organization
Organization Name: Steven Delisle Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Apr 29, 2016
Last Updated: Apr 29, 2016

Practice Location

Address: 462 N LINDEN DR
Address 2: 341
City: Beverly Hills
State: California
ZIP Code: 90212-2247
Phone: (425) 306-2579

Authorized Official

Name: STEVEN DEL ISLE, DOS
Title: OWNER
Phone: (425) 306-2579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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