Individual
SUSAN M SILVESTRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2300 GAUSE BLVD E, SLIDELL, LA 70461-4141
(985) 641-7200
(985) 641-7047
Mailing address
2300 GAUSE BLVD E, SLIDELL, LA 70461-4141
(985) 641-7200
(985) 641-7047
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4229
LA
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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