# ALBERTINA SILVA DDS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205259769
- **Authorized official:** DR. ALBERTINA SILVA (DENTIST)
- **Authorized official phone:** (818) 779-1663

## Contact information

- **Practice address:** 14649 VICTORY BLVD STE 24, VAN NUYS, CA 91411-4101
- **Practice address phone:** (818) 779-1663
- **Mailing address:** 14649 VICTORY BLVD STE 24, VAN NUYS, CA 91411-4101
- **Mailing address phone:** (818) 779-1663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 56176 | CA | Yes |

## Other

- **Enumeration date:** 02/03/2014
- **Last updated:** 02/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1740500701 | GENERAL DENTIST | CA |