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Oral Surgery, Dental Specialists

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Oral and Maxillofacial Surgery

Harvey, Louisiana

Provider NPI: 1467665505

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

Practice Location:
Tel: 504-368-7513  Fax: 504-368-3932

Business Mailing Address:
Tel: 504-368-7513  Fax: 504-368-3932

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N1223S0112XDental Providers
Oral and Maxillofacial Surgery
Y1223X0400XDental Providers


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