Organization
DEVEREUX AND NGUYEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DEVEREUX DDS (OWNER)
(504) 368-7513
Entity
Organization
Contact information
Practice address
1301 W TUNNEL BLVD, SUITE B, HOUMA, LA 70360-2600
(985) 853-8510
Mailing address
1301 W TUNNEL BLVD, SUITE B, HOUMA, LA 70360-2600
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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