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Organization
MATTHEW HEARN LTD
Active
Organization
MATTHEW HEARN LTD
Active
Other names
Matthew Hearn Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW WILLIAM HEARN DDS, MD (ORAL SURGEON)
(504) 220-7344
Entity
Organization
Contact information
Practice address
3204 LANCER ST STE B, PORTAGE, IN 46368-4491
(219) 762-1806
(219) 763-9979
Mailing address
3712 LAKE HURON DR APT 104, VALPARAISO, IN 46383-6746
(504) 220-7344
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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