Individual
PAUL DAVID HILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
718 E BROADWAY, LOGANSPORT, IN 46947
(574) 754-4717
Mailing address
718 E BROADWAY, LOGANSPORT, IN 46947
(574) 754-4717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6902
IN
Other
Enumeration date
03/29/2007
Last updated
03/07/2013
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