Steven Delisle DDS P.c.

NPI #1760872691 in Las Vegas, Nevada

Provider Information

NPI Number: 1760872691
Entity Type: Organization
Organization Name: Steven Delisle DDS P.c.
Primary Specialty: Dentist
Enumeration Date: Jan 30, 2015
Last Updated: Jan 30, 2015

Practice Location

Address: 2480 E TOMPKINS AVE STE 102
City: Las Vegas
State: Nevada
ZIP Code: 89121-5466
Phone: (425) 306-2579

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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