Organization
KEITH HILLIARD DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J KEITH HILLIARD DMD (PRESIDENT)
(863) 644-0430
Entity
Organization
Contact information
Practice address
330 E HIGHLAND DRIVE, LAKELAND, FL 33813-1727
(863) 644-0430
(863) 646-5902
Mailing address
330 E HIGHLAND DRIVE, LAKELAND, FL 33813-1727
(863) 644-0430
(863) 646-5902
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6394
FL
Other
Enumeration date
06/21/2007
Last updated
08/22/2020
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