Provider Demographics
NPI:1427177427
Name:HILLTOP DENTAL CARE
Entity type:Organization
Organization Name:HILLTOP DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PERPETUA
Authorized Official - Middle Name:G
Authorized Official - Last Name:MADRILEJO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-992-2428
Mailing Address - Street 1:6273 MISSION ST
Mailing Address - Street 2:STE 101
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2049
Mailing Address - Country:US
Mailing Address - Phone:650-992-2428
Mailing Address - Fax:
Practice Address - Street 1:6273 MISSION ST
Practice Address - Street 2:STE 101
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-2049
Practice Address - Country:US
Practice Address - Phone:650-992-2428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA264721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty