| NPI | 1609055821 |
|---|---|
| Other Name | THE DEVEREUX FOUNDATION |
| Entity Type | Organization |
| Authorized Contact | JESSICA KALBACH Lead Contracts Analyst 610-542-3042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2024-03-07 |