Derry L. Hildebrand JR., D.D.S.
NPI #1114175817 in Portola, California
Provider Information
- NPI Number
- 1114175817
- Entity Type
- Individual
- Name
- Derry L. Hildebrand JR., D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Sep 5, 2008
- Last Updated
- Oct 5, 2009
Practice Location
- Address
- 296 W SIERRA AVE.
- Address 2
- STE 1
- City
- Portola
- State
- California
- ZIP Code
- 96122-8627
- Phone
- (530) 832-0200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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