Provider Demographics
NPI:1467548453
Name:SILVERIO-GOMEZ, ISABEL CRISTINA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:CRISTINA
Last Name:SILVERIO-GOMEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7733 BERGENLINE AVENUE
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047
Mailing Address - Country:US
Mailing Address - Phone:201-869-3335
Mailing Address - Fax:201-869-1960
Practice Address - Street 1:7733 BERGENLINE AVENUE
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047
Practice Address - Country:US
Practice Address - Phone:201-869-3335
Practice Address - Fax:201-869-1960
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI17241122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist