JACK P DEVEREUX

SLIDELL, LA
NPI1376620906
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: LA  3676)
Additional Taxonomies1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MS  2971)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
Dr. JACK P DEVEREUX D.D.S., M.S.
2330 GAUSE BLVD E
SLIDELL, LA 70461-4141
Phone number: 985-641-1115
Mailing Address
Dr. JACK P DEVEREUX D.D.S., M.S.
2330 E. GAUSE BLVD.
SLIDELL, LA 70461-4141
Phone number: 985-641-1115
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