Provider Demographics
NPI:1477684173
Name:TIMEN, SILVIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:
Last Name:TIMEN
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:PO BOX 171
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91319-0171
Mailing Address - Country:US
Mailing Address - Phone:805-273-5015
Mailing Address - Fax:
Practice Address - Street 1:860 HAMPSHIRE RD
Practice Address - Street 2:SUITE E
Practice Address - City:WESTLAKE VLG
Practice Address - State:CA
Practice Address - Zip Code:91361-2803
Practice Address - Country:US
Practice Address - Phone:805-273-5015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52430122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist