Provider Demographics
NPI:1659380905
Name:HILTON, KIELA MARIE (DDS)
Entity Type:Individual
Prefix:
First Name:KIELA
Middle Name:MARIE
Last Name:HILTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18724 HELOTES RDG
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-2855
Mailing Address - Country:US
Mailing Address - Phone:210-695-5156
Mailing Address - Fax:
Practice Address - Street 1:1401 SW LOOP 410
Practice Address - Street 2:SUITE139B
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-1664
Practice Address - Country:US
Practice Address - Phone:210-675-9200
Practice Address - Fax:210-675-9204
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19389122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist