Individual
JENNIFER D'SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
210 E TRADE ST # 484, CHARLOTTE, NC 28202
(704) 632-7700
Mailing address
210 E TRADE ST # 484, CHARLOTTE, NC 28202-2404
(704) 632-7700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
057275
NY
122300000X
Dentist
Primary
260156
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2013
Last updated
01/02/2019
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