Organization
VEST ORTHODONTICS PC
Active
Organization
VEST ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVAN R VEST DDS, MS (PRESIDENT)
(505) 662-4555
Entity
Organization
Contact information
Practice address
3250 TRINITY DR STE A, LOS ALAMOS, NM 87544-2226
(505) 662-4555
(505) 662-4373
Mailing address
3250 TRINITY DR STE A, LOS ALAMOS, NM 87544-2226
(505) 662-4555
(505) 662-4373
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22050221
—
NM
Enumeration date
02/06/2010
Last updated
07/13/2010
Update your record
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