DR. Kirt Bruce Hillam, DDS

NPI #1144339326 in Idaho Falls, Idaho

Provider Information

NPI Number: 1144339326
Entity Type: Individual
Name: DR. Kirt Bruce Hillam, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 139 ALTURAS ST
City: Idaho Falls
State: Idaho
ZIP Code: 83401-4309
Phone: (208) 523-5090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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