Provider Demographics
NPI:1003226317
Name:SILVA, KERI EILEEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KERI
Middle Name:EILEEN
Last Name:SILVA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6576 HIGH KNOLL RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-5427
Mailing Address - Country:US
Mailing Address - Phone:818-439-4834
Mailing Address - Fax:
Practice Address - Street 1:814 MORENA BLVD STE 202
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-2632
Practice Address - Country:US
Practice Address - Phone:619-294-3273
Practice Address - Fax:619-294-7170
Is Sole Proprietor?:No
Enumeration Date:2014-05-08
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63352122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist