Individual
MARCILLA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
319 DAVIS ST, LAKE ELSINORE, CA 92530-3223
(951) 565-0683
Mailing address
319 DAVIS ST, LAKE ELSINORE, CA 92530-3223
(951) 565-0683
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
66526
CA
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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