Individual
DR. VAN TERRY HIMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1100 FLORIDA AVE, LSUHSC DEPARTMENT OF ENDODONTICS BOX 135, NEW ORLEANS, LA 70119-2714
(504) 941-8395
Mailing address
1100 FLORIDA AVE, LSUHSC DEPARTMENT OF ENDODONTIC BOX 135, NEW ORLEANS, LA 70119-2714
(504) 941-8395
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2586
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2586
DENAL LICENSE NUMBER
LA
Enumeration date
09/30/2006
Last updated
11/05/2012
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