Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 37504 | CA |
Y | 204E00000X | Oral & Maxillofacial Surgeon | G81633 | CA |
NPI | 1376654483 |
---|---|
Provider Name | Perry V Silva |
First Address | Monterey, CA 93940-4606 |
Second Address | Monterey, CA 93940-4625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 24/04/2015 |