Provider Demographics
NPI:1770656415
Name:HILO, ANGELA K (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:K
Last Name:HILO
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 1:4178 KNOB DR
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-2888
Mailing Address - Country:US
Mailing Address - Phone:651-452-4317
Mailing Address - Fax:
Practice Address - Street 1:4178 KNOB DR
Practice Address - Street 2:SUITE C
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-2888
Practice Address - Country:US
Practice Address - Phone:651-452-4317
Practice Address - Fax:651-452-2208
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND11651122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist