Organization
DAVID M DEVIESE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MYERS DEVIESE DDS (OWNER)
(540) 948-4488
Entity
Organization
Contact information
Practice address
306 S MAIN ST, MADISON, VA 22727-3026
(540) 948-4488
(540) 948-4662
Mailing address
PO BOX 304, MADISON, VA 22727-0304
(540) 948-4488
(540) 948-4662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004401
VA
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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