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Individual

DR. RYAN P HEBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
538 E GLORIA SWITCH RD, LAFAYETTE, LA 70507-2510
(337) 233-1271
Mailing address
104 CHASE DR, LAFAYETTE, LA 70507-5115
(337) 233-1271

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6379
LA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6379
LA

Other

Enumeration date
05/28/2013
Last updated
05/19/2016
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