Individual
DR. ERIC GRANT HILLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3654 GRAVOIS AVE, SAINT LOUIS, MO 63116-4728
(208) 351-7751
Mailing address
708 SOUTHSHIRE DR, SAINT LOUIS, MO 63125-5116
(208) 351-7751
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2019022470
MO
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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