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Organization
MYRNA GRACE S.HILO, DMD, INC
Active
Organization
MYRNA GRACE S.HILO, DMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRNA GRACE SERRANO HILO D.D.S. (GENERAL DENTIST)
(408) 727-0722
Entity
Organization
Contact information
Practice address
4767 LAFAYETTE ST STE 104, SANTA CLARA, CA 95054-1600
(408) 727-0722
Mailing address
4767 LAFAYETTE ST STE 104, SANTA CLARA, CA 95054-1600
(408) 727-0722
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
B40610
CA
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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