Individual
TOM HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4451 BLUEBONNET BLVD, STE A, BATON ROUGE, LA 70809-9639
(225) 767-2273
(225) 769-3395
Mailing address
104 KEMPTON DR, LAFAYETTE, LA 70508-6547
(225) 767-2273
(225) 769-3395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5024
LA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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