| Derry L Hildebrand Jr, DDS | |
|
296 W Sierra Ave., Ste 1, Portola, CA 96122-8627 | |
| (530) 832-0200 | |
| (530) 832-0900 |
| Full Name | Derry L Hildebrand Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 296 W Sierra Ave., Portola, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114175817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19626 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derry L Hildebrand Jr, DDS 296 W Sierra Avenue, Ste 1, Portola, CA 96122-8627 Ph: (530) 832-0200 | Derry L Hildebrand Jr, DDS 296 W Sierra Ave., Ste 1, Portola, CA 96122-8627 Ph: (530) 832-0200 |
Dr. Bruce H Lee, DDS Dentist Medicare: Medicare Enrolled Practice Location: 181 S Gulling St, Portola, CA 96122 Phone: 530-832-4461 | |
Dr. Mario G. Garibotti, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 145 N Pine St, Portola, CA 96122 Phone: 530-832-4425 Fax: 530-832-1058 |