Keith Hilliard Dmd Pa

NPI 1063618759 - Dentist - 1223X0400X

NPI Details
NPI 1063618759
Enumeration Date 06/21/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name J KEITH J
Position PRESIDENT
Phone (863) 644-0430
Fax (863) 646-5902
Practice Location
330 E HIGHLAND DRIVE
LAKELAND FL, 33813-1727, US
Phone (863) 644-0430
Fax (863) 646-5902
Business Location
330 E HIGHLAND DRIVE
LAKELAND FL, 33813-1727, US
Phone (863) 644-0430
Fax (863) 646-5902
Toxanomy
Taxonomy Code 1223X0400X
License State Florida
License Number 6394
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According to our database, Keith Hilliard Dmd Pa NPI is 1063618759, taxonomy code is 1223X0400X and license number is 6394, license state is located at Florida. Keith Hilliard Dmd Pa physically located at 330 E Highland Drive, Lakeland FL, 33813-1727. NPI Number 1033115704 has the healthcare provider type.

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1063618759 NPI number is provided on an as is basis without warranty of any kind. 1063618759 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Hilliard Dmd Pa are for informational purposes only.