Ryan David Hillam, DDS

NPI #1992880132 in Fruitland, Idaho

Provider Information

NPI Number: 1992880132
Entity Type: Individual
Name: Ryan David Hillam, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 26, 2006
Last Updated: Nov 20, 2009

Practice Location

Address: 1820 N.WHITLEY DRIVE
City: Fruitland
State: Idaho
ZIP Code: 83619
Phone: (208) 452-4808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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