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Individual
DR. ERIC WALLACE HAYES
Active
Individual
DR. ERIC WALLACE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5921
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347308
LICENSE
MS
01
—
5921
STATE BOARD OF DENTISTRY
LA
Enumeration date
07/09/2008
Last updated
11/25/2009
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