Michael J Devereux, DDS PC Valid NPI

Individual provider · Dentist · Eugene, OR

NPI

1144323668

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

D6466 (OR)

Sex

Male

Sole proprietor

No

Enumerated

2006-09-07

Last updated

2007-07-08