| Devereux And Nguyen Llc | |
|
71380 Highway 21 Suite 103 Covington LA 70433-7245 | |
| (985) 893-6446 | |
| (985) 893-6707 |
| Full Name | Devereux And Nguyen Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 71380 Highway 21, Covington, Louisiana |
| Authorized Official Name and Position | Jack P Devereux (OWNER) |
| Authorized Official Contact | 9858936446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devereux And Nguyen Llc 71380 Highway 21 Suite 103 Covington LA 70433-7245 Ph: (985) 893-6446 | Devereux And Nguyen Llc 71380 Highway 21 Suite 103 Covington LA 70433-7245 Ph: (985) 893-6446 |
| NPI Number | 1740457878 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 02/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740457878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3676 (Louisiana) | Primary |
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