Organization
CARL M HILLENDAHL, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL MICHAEL HILLENDAHL D.D.S. (CEO)
(530) 626-1700
Entity
Organization
Contact information
Practice address
4369 GOLDEN CENTER DR, SUITE B, PLACERVILLE, CA 95667-6260
(530) 626-1700
(530) 626-4879
Mailing address
4369 GOLDEN CENTER DR, SUITE B, PLACERVILLE, CA 95667-6260
(530) 626-1700
(530) 626-4879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28165
CA
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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