| NPI | 1174296958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HILLER Owner 225-924-7367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-28 |