| Devereux And Nguyen Llc | |
|
2800 Manhattan Blvd. Suite D Harvey LA 70058-2904 | |
| (504) 368-7513 | |
| (504) 368-3932 |
| Full Name | Devereux And Nguyen Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2800 Manhattan Blvd., Harvey, Louisiana |
| Authorized Official Name and Position | Jack P Devereux (OWNER AND ORTHODONTIST) |
| Authorized Official Contact | 5043687513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devereux And Nguyen Llc 2800 Manhattan Blvd. Suite D Harvey LA 70058-2904 Ph: (504) 368-7513 | Devereux And Nguyen Llc 2800 Manhattan Blvd. Suite D Harvey LA 70058-2904 Ph: (504) 368-7513 |
| NPI Number | 1467665505 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 05/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467665505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5714 (Louisiana) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3676 (Louisiana) | Primary |
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