Organization
CORDOVA FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT HILDENBRAND DMD (CEO)
(662) 321-5883
Entity
Organization
Contact information
Practice address
1680 BONNIE LN, CORDOVA, TN 38016-1529
(901) 286-3405
(901) 286-5955
Mailing address
PO BOX 416, SALTILLO, MS 38866-0416
(901) 286-3405
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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