Provider Demographics
NPI:1952523649
Name:HILADO, MARIA KRISTINA GANZON (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA KRISTINA
Middle Name:GANZON
Last Name:HILADO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 EL WOOD CT
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-2049
Mailing Address - Country:US
Mailing Address - Phone:760-277-4475
Mailing Address - Fax:
Practice Address - Street 1:1510 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:SAINT HELENA
Practice Address - State:CA
Practice Address - Zip Code:94574-1106
Practice Address - Country:US
Practice Address - Phone:707-963-2321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53601122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist