Individual
DR. BRUCE S SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
518 E OLTORF ST, AUSTIN, TX 78704-5639
(512) 442-6728
(512) 442-7768
Mailing address
518 E OLTORF ST, AUSTIN, TX 78704-5639
(512) 442-6728
(512) 442-7768
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700314702
GEHA
TX
01
—
D13224
BLUE CROSS BLUE SHIELD
TX
01
—
PR092985
DELTA DENTAL
MO
Enumeration date
06/08/2006
Last updated
07/08/2007
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