Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI Number | 1841404647 |
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| LBN Legal business name | THOMAS A. HILLEBRAND, DMD, PA | ||||||||||||
| Authorized official | THOMAS HILLEBRAND - (OWNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 05/10/2007 | ||||||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||||||
| Identifiers |
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