Individual
DR. AMANDA M HILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7421 MEXICO RD, SAINT PETERS, MO 63376-1369
(636) 970-7902
Mailing address
1173 REELFOOT LAKE DR, CHESTERFIELD, MO 63017-2934
(701) 226-6840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2010012887
MO
Other
Enumeration date
05/04/2010
Last updated
10/01/2012
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