NPI | 1386928778 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD J HEBERT Dentist 337-474-4892 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 4023) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2011-10-04 |