Provider Demographics
NPI:1760517395
Name:CUISIA, ZENAIDA ELVIRA SILVA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ZENAIDA ELVIRA
Middle Name:SILVA
Last Name:CUISIA
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 1:3257 CAMINO DE LOS COCHES STE 304
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-8974
Mailing Address - Country:US
Mailing Address - Phone:760-633-1131
Mailing Address - Fax:
Practice Address - Street 1:3257 CAMINO DE LOS COCHES STE 304
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-8974
Practice Address - Country:US
Practice Address - Phone:760-633-1131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA497391223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD49739OtherDENTI-CAL