KIRT BRUCE HILLAM

IDAHO FALLS, ID
NPI1144339326
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D-2033)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
Dr. KIRT BRUCE HILLAM DDS
139 ALTURAS ST
IDAHO FALLS, ID 83401-4309
Phone number: 208-523-5090
Mailing Address
Dr. KIRT BRUCE HILLAM DDS
139 ALTURAS ST
IDAHO FALLS, ID 83401-4309
Phone number: 208-523-5090
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