| NPI | 1942566930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY G. HILLMAN Practice Owner/ Dentist 337-478-0531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 4191) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |