| 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 |