Individual
MICHAEL J DEVEREUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
2477 OAKMONT WAY, EUGENE, OR 97401
(541) 484-1292
(541) 484-1294
Mailing address
2477 OAKMONT WAY, EUGENE, OR 97401
(541) 484-1292
(541) 484-1294
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6466
OR
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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