Organization
A SMILE BY DR. DEVESE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY DEVESE D.D.S. (OWNER)
(614) 890-0905
Entity
Organization
Contact information
Practice address
105 COMMERCE PARK DR STE B, WESTERVILLE, OH 43082-6060
(614) 890-0905
(614) 890-4005
Mailing address
105 COMMERCE PARK DR STE B, WESTERVILLE, OH 43082-6060
(614) 890-0905
(614) 890-4005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3019883
OH
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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