Individual
ERIC S DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2455 I-40 W, AMARILLO, TX 79109-1852
(806) 350-5437
(806) 350-5438
Mailing address
2455 I-40 W, AMARILLO, TX 79109-1852
(806) 350-5437
(806) 350-5438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901019107
MI
1223G0001X
General Practice Dentistry
2901019107
MI
1223P0221X
Pediatric Dentistry
Primary
24801
TX
Other
Enumeration date
06/06/2007
Last updated
01/25/2011
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