Individual
DR. THOMAS WALTER HEBDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7730 N UNION BLVD, SUITE 103, COLORADO SPRINGS, CO 80920-4084
(719) 590-1500
(719) 590-9379
Mailing address
7730 N UNION BLVD, SUITE 103, COLORADO SPRINGS, CO 80920-4084
(719) 590-1500
(719) 590-9379
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
105579
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04019899
—
CO
Enumeration date
09/14/2005
Last updated
07/09/2007
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