Individual
DR. BRIAN DUVERNAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2330 GAUSE BLVD E, SLIDELL, LA 70461-4141
(985) 641-1115
Mailing address
2330 GAUSE BLVD E, SLIDELL, LA 70461-4141
(985) 641-1115
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
3613-11
MS
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6017
LA
Other
Enumeration date
06/14/2010
Last updated
08/24/2011
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