# MARIN ADVANCED DENTAL CARE

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

## Provider details

- **NPI number:** 1770371270
- **Authorized official:** DR. KYLE HELLSTROM DDS (DENTIST/PARTNER)
- **Authorized official phone:** (504) 610-1070

## Contact information

- **Practice address:** 100 TAMAL PLZ STE 125, CORTE MADERA, CA 94925-1167
- **Practice address phone:** (415) 464-9989
- **Mailing address:** 100 TAMAL PLZ STE 125, CORTE MADERA, CA 94925-1167
- **Mailing address phone:** (415) 464-9989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2025
- **Last updated:** 04/25/2025