Organization
RANDAL L. HILLIS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL LEE HILLIS (OWNER,DENTIST)
(573) 785-6699
Entity
Organization
Contact information
Practice address
1600 W HARPER ST, POPLAR BLUFF, MO 63901-4119
(573) 785-6699
(573) 785-3424
Mailing address
1600 W HARPER ST, POPLAR BLUFF, MO 63901-4119
(573) 785-6699
(573) 785-3424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14340
MO
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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