| Hillview Dental Group | |
|
40739 Grimmer Blvd Fremont CA 94538-2800 | |
| (510) 651-1440 | |
| (510) 651-1454 |
| Full Name | Hillview Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 40739 Grimmer Blvd, Fremont, California |
| Authorized Official Name and Position | Harley Scott Odden (PRESIDENT) |
| Authorized Official Contact | 5106511440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillview Dental Group 40739 Grimmer Blvd Fremont CA 94538-2800 Ph: (510) 651-1440 | Hillview Dental Group 40739 Grimmer Blvd Fremont CA 94538-2800 Ph: (510) 651-1440 |
| NPI Number | 1093884074 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093884074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | FNP 2586 (California) | Primary |
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