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Individual

DR. DEVAN R VEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

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
DD 3352
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74831828
NM
Enumeration date
02/06/2010
Last updated
01/17/2013
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