| NPI | 1386081578 |
|---|---|
| Professional Name | HEBERT FAMILY DENTISTRY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 6379) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: LA 6379) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2016-05-19 |