Organization
EDWARD J HEBET DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J HEBERT DDS (DENTIST)
(337) 474-4892
Entity
Organization
Contact information
Practice address
1540 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5324
(337) 474-4892
(337) 474-4830
Mailing address
1540 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5324
(337) 474-4892
(337) 474-4830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4023
LA
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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