# DHILLONDENTA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003365057
- **Authorized official:** RAJWINDER SINGH DHILLON DDS (DENTIST)
- **Authorized official phone:** (916) 872-0737

## Contact information

- **Practice address:** 414 MILLBROOK CT, LINCOLN, CA 95648-3250
- **Practice address phone:** (916) 872-0737
- **Mailing address:** 414 MILLBROOK CT, LINCOLN, CA 95648-3250
- **Mailing address phone:** (916) 872-0737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 59097 | CA | Yes |
| 302R00000X | Health Maintenance Organization | 59097 | CA | — |

## Other

- **Enumeration date:** 09/30/2016
- **Last updated:** 09/30/2016