DERRY HILDEBRAND JR., D.D.S.
Dentist
Active
Individual
NPI: 1114175817
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 19626 (CA) |
Frequently Asked Questions
NPI 1114175817 is the National Provider Identifier for DERRY HILDEBRAND JR., D.D.S., a Dentist provider located in Portola, CA. This NPI was enumerated on September 5, 2008.
DERRY HILDEBRAND JR., D.D.S. practices at 296 W SIERRA AVE., STE 1, Portola, CA 96122.
Quick Facts
- NPI
- 1114175817
- Type
- Individual
- Enumerated
- Sep 5, 2008
- Last Updated
- Oct 5, 2009
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