| Steven Delisle Pllc | |
|
2585 S Jones Blvd Ste 1a Las Vegas NV 89146-5604 | |
| (702) 489-5460 | |
| Not Available |
| Full Name | Steven Delisle Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2585 S Jones Blvd Ste 1a, Las Vegas, Nevada |
| Authorized Official Name and Position | Steven Delisle (OWNER) |
| Authorized Official Contact | 4253062579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Delisle Pllc 2585 S Jones Blvd Ste 1a Las Vegas NV 89146-5604 Ph: () - | Steven Delisle Pllc 2585 S Jones Blvd Ste 1a Las Vegas NV 89146-5604 Ph: (702) 489-5460 |
| NPI Number | 1568757896 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 06/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568757896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5929 (Nevada) | Primary |
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