Individual
DR. EDWARD J. HEBERT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1540 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5324
(337) 474-4892
Mailing address
1540 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5324
(337) 474-4892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4023
LA
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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