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Individual

DR. ADAM JAMES HILDEBRANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
580 WOODBURY DR STE 300, WOODBURY, MN 55125-4949
(651) 731-1010
Mailing address
580 WOODBURY DR STE 300, WOODBURY, MN 55125-4949

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1111111111111
MN
1223G0001X
General Practice Dentistry
0
MN
1223G0001X
General Practice Dentistry
Primary
D14726
MN

Other

Enumeration date
05/19/2022
Last updated
05/25/2022
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