Individual
DR. JEFFREY MICHAEL HEPBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2083 3RD ST, MANDEVILLE, LA 70471-6426
(985) 221-4017
Mailing address
2083 3RD ST, MANDEVILLE, LA 70471-6426
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6160
LA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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