Individual
DR. BLAKE HOEDEBECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-7208
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-7208
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
28143
TX
Other
Enumeration date
05/29/2012
Last updated
06/06/2023
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