Individual
DR. KEITH DA SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
722 W 168TH ST, NEW YORK, NY 10032-3727
(212) 305-6754
Mailing address
60 HAVEN AVE APT 29A, NEW YORK, NY 10032-0564
(917) 628-5564
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
P57018
NY
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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