Individual
DR. BOB V.V. HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7050 HIGHWAY 190, COVINGTON, LA 70433-4954
(985) 893-1401
Mailing address
7050 HIGHWAY 190, COVINGTON, LA 70433-4954
(985) 893-1401
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2492
LA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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