Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 16328 | MI |
NPI | 1619931151 |
---|---|
Provider Name | Dr. Kevin Dean Hilton |
First Address | Houghton, MI 49931-2320 |
Second Address | Ewen, MI 49925-9001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 08/07/2007 |