Organization
DEVEREUX AND NGUYEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK P DEVEREUX D.D.S., M.S. (OWNER)
(985) 893-6446
Entity
Organization
Contact information
Practice address
71380 HIGHWAY 21, SUITE 103, COVINGTON, LA 70433-7245
(985) 893-6446
(985) 893-6707
Mailing address
71380 HIGHWAY 21, SUITE 103, COVINGTON, LA 70433-7245
(985) 893-6446
(985) 893-6707
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3676
LA
Other
Enumeration date
05/08/2008
Last updated
02/28/2013
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