Provider Demographics
NPI:1043277551
Name:PEREIRA DA SILVA, DANIELA RODRIGUES (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:RODRIGUES
Last Name:PEREIRA DA SILVA
Suffix:
Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:10833 LECONTE AVE CHS 23-020A
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-0405
Mailing Address - Country:US
Mailing Address - Phone:310-206-5118
Mailing Address - Fax:352-392-8195
Practice Address - Street 1:10833 LECONTE AVE CHS 23-020A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0405
Practice Address - Country:US
Practice Address - Phone:310-206-5118
Practice Address - Fax:352-392-8195
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDTP 4151223P0221X
CASP2561223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL075846900Medicaid
FL075846900Medicaid