Steven Delisle DDS PC

NPI #1881106326 in Las Vegas, Nevada

Provider Information

NPI Number: 1881106326
Entity Type: Organization
Organization Name: Steven Delisle DDS PC
Primary Specialty: Dentist
Enumeration Date: Oct 24, 2017
Last Updated: Oct 24, 2017

Practice Location

Address: 6415 S FORT APACHE RD STE 150
City: Las Vegas
State: Nevada
ZIP Code: 89148-6749
Phone: (702) 710-0801

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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