Organization
MATTHEW HEARN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WILLIAM HEARN DDS,MD (ORAL SURGEON)
(504) 220-7344
Entity
Organization
Contact information
Practice address
2009 ROOSEVELT RD, SUITE B, VALPARAISO, IN 46383-3765
(504) 220-7344
Mailing address
2009 ROOSEVELT RD, SUITE B, VALPARAISO, IN 46383-3765
(504) 220-7344
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12010718A
IN
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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