Individual
STACY SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4111 ALHAMBRA AVE, MARTINEZ, CA 94553-3823
(925) 957-0148
Mailing address
4111 ALHAMBRA AVE, MARTINEZ, CA 94553-3823
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
63807
CA
Other
Enumeration date
04/03/2013
Last updated
07/29/2016
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