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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