# KEVIN M. KILLIAN, D.D.S.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932384393
- **Authorized official:** DR. KEVIN M. KILLIAN D.D.S. (PRESIDENT)
- **Authorized official phone:** (636) 970-2699

## Contact information

- **Practice address:** 625 SALT LICK RD, SAINT PETERS, MO 63376-1170
- **Practice address phone:** (636) 970-2699
- **Mailing address:** 625 SALT LICK RD, SAINT PETERS, MO 63376-1170
- **Mailing address phone:** (636) 970-2699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 14633 | MO | Yes |

## Other

- **Enumeration date:** 01/04/2008
- **Last updated:** 01/04/2008