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Organization

KELLY A. SILVA, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KELLY A SILVA DDS (PRESIDENT)
(208) 245-3912
Entity
Organization

Contact information

Practice address
132 S 2ND ST, SAINT MARIES, ID 83861-2209
(120) 824-5391
(120) 824-5551
Mailing address
132 S 2ND ST, SAINT MARIES, ID 83861-2209
(120) 824-5391
(120) 824-5551

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3897
ID
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
01/17/2013
Last updated
02/01/2023
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