Individual
DR. KELLY A SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
132 S 2ND ST, ST MARIES, ID 83861-2209
(208) 245-3912
(208) 245-5511
Mailing address
132 S 2ND ST, ST MARIES, ID 83861-2209
(208) 245-3912
(208) 245-5511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3897
ID
Other
Enumeration date
08/05/2006
Last updated
02/01/2023
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