Organization
DEVEREUX AND NGUYEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE VANBENSCHOTEN (MANAGER)
(870) 834-3000
Entity
Organization
Contact information
Practice address
2201 VETERANS BLVD., SUITE 306, METAIRIE, LA 70002
(504) 831-2120
Mailing address
2201 VETERANS BLVD., SUITE 306, METAIRIE, LA 70002
(504) 831-2120
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3676
LA
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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