Organization
TOMMY G. HILLMAN, DDS, A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY G. HILLMAN DDS (PRACTICE OWNER/ DENTIST)
(337) 478-0531
Entity
Organization
Contact information
Practice address
3437 DEREK DR, LAKE CHARLES, LA 70607-7533
(337) 478-0531
Mailing address
3437 DEREK DR, LAKE CHARLES, LA 70607-7533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4191
LA
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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