Myrna Grace S.hilo, Dmd, Inc | |
4767 Lafayette St Ste 104 Santa Clara CA 95054-1600 | |
(408) 727-0722 | |
Not Available |
Full Name | Myrna Grace S.hilo, Dmd, Inc |
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Speciality | Clinic/center - Dental |
Location | 4767 Lafayette St Ste 104, Santa Clara, California |
Authorized Official Name and Position | Myrna Grace Serrano Hilo (GENERAL DENTIST) |
Authorized Official Contact | 4087270722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Myrna Grace S.hilo, Dmd, Inc 4767 Lafayette St Ste 104 Santa Clara CA 95054-1600 Ph: (408) 727-0722 | Myrna Grace S.hilo, Dmd, Inc 4767 Lafayette St Ste 104 Santa Clara CA 95054-1600 Ph: (408) 727-0722 |
NPI Number | 1972988848 |
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Provider Enumeration Date | 07/21/2015 |
Last Update Date | 07/21/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972988848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | B40610 (California) | Primary |
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