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Organization
YULY VILDERMAN DDS A DENTAL CORPORATION
Active
Organization
YULY VILDERMAN DDS A DENTAL CORPORATION
Active
Other names
Harbor Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YULY VILDERMAN (CEO)
(916) 372-8525
Entity
Organization
Contact information
Practice address
825 HARBOR BLVD, WEST SACRAMENTO, CA 95691
(916) 372-8525
(916) 372-5971
Mailing address
825 HARBOR BLVD, WEST SACRAMENTO, CA 95691
(916) 372-8525
(916) 372-5971
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
B41689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G91180-01
MEDICAL
CA
Enumeration date
11/22/2006
Last updated
08/22/2020
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