MR. John Joseph Hederman, D.D.S

NPI #1588662712 in Port Arthur, Texas

Provider Information

NPI Number: 1588662712
Entity Type: Individual
Name: MR. John Joseph Hederman, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S
Enumeration Date: Jul 12, 2005
Last Updated: Aug 3, 2011

Practice Location

Address: 2548 MEMORIAL BLVD
City: Port Arthur
State: Texas
ZIP Code: 77640-2825
Phone: (409) 983-1161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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