Individual
SAM HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(702) 774-2400
Mailing address
504 S LYNN RIGGS BLVD, CLAREMORE, OK 74017-7814
(918) 283-7377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7886
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2023
Last updated
05/07/2024
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