Provider Demographics
NPI:1508013830
Name:GONZALEZ, SILVIA DEL PILAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:DEL PILAR
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SILVIA
Other - Middle Name:DEL PILAR
Other - Last Name:SOLOMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:925 E SAN ANTONIO DR STE 14
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2210
Mailing Address - Country:US
Mailing Address - Phone:562-423-7996
Mailing Address - Fax:562-422-9112
Practice Address - Street 1:925 E SAN ANTONIO DR STE 14
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2210
Practice Address - Country:US
Practice Address - Phone:562-423-7996
Practice Address - Fax:562-422-9112
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA361541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice