Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 10929 | NC |
NPI | 1124300306 |
---|---|
Provider Name | Dr. Eric Francis D'silva |
First Address | Charlotte, NC 28203-6421 |
Second Address | Charlotte, NC 28277-3876 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2011 |
Last Update Date | 29/04/2020 |