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DEVEREUX AND NGUYEN LLC

Oral and Maxillofacial Surgery

Harvey, Louisiana

Provider NPI: 1467665505

Organization Information:
Organization Name:  DEVEREUX AND NGUYEN LLC
Organization is not Subpart
Authorized Official:  JACK P DEVEREUX  OWNER AND ORTHODONTIST  504-3687513

Practice Location:
2800 MANHATTAN BLVD. SUITE D HARVEY, LA 70058 US
Tel: 504-368-7513  Fax: 504-368-3932

Business Mailing Address:
2800 MANHATTAN BLVD. SUITE D HARVEY, LA 70058 US
Tel: 504-368-7513  Fax: 504-368-3932

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
LA5714
Y1223X0400XDental Providers
Dentist
LA3676





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