Individual
MARK HILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4585 WASHINGTON ST, C-3, FLORISSANT, MO 63033-5858
(314) 831-4660
Mailing address
4585 WASHINGTON ST, C-3, FLORISSANT, MO 63033-5858
(314) 831-4660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE014146
MO
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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