Individual
DR. GLADSTON SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1667 N CLYDE MORRIS BLVD STE 1, DAYTONA BEACH, FL 32117-5500
(386) 274-2021
(386) 274-1743
Mailing address
1667 N CLYDE MORRIS BLVD STE 1, DAYTONA BEACH, FL 32117-5500
(386) 274-2021
(386) 274-1743
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19869
FL
1223G0001X
General Practice Dentistry
DN19869
FL
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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