Individual
DR. KENNETH LEE HILLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6665
Mailing address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6665
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901500023
MI
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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