Individual
MICHAEL HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1616 W MCNEESE ST, LAKE CHARLES, LA 70605-4244
(337) 478-3232
(337) 478-3206
Mailing address
1616 W MCNEESE ST, LAKE CHARLES, LA 70605-4244
(337) 478-3232
(337) 478-3206
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2289
LA
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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