Provider Demographics
NPI:1588851349
Name:ERICKSON, SILVIA DE LIMA SOBRAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:DE LIMA SOBRAL
Last Name:ERICKSON
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 1:5370 HOLLISTER AVE STE G
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2396
Mailing Address - Country:US
Mailing Address - Phone:805-967-5017
Mailing Address - Fax:805-967-5011
Practice Address - Street 1:5370 HOLLISTER AVE STE G
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2396
Practice Address - Country:US
Practice Address - Phone:805-967-5017
Practice Address - Fax:805-967-5011
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47885122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist