Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 63352 | CA |
NPI | 1003226317 |
---|---|
Provider Name | Dr. Keri Eileen Silva |
First Address | San Diego, CA 92111-5427 |
Second Address | San Diego, CA 92110-2632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2014 |
Last Update Date | 01/10/2020 |