Provider Demographics
NPI:1821705252
Name:SILBERBERG DENTAL CORPORATION
Entity Type:Organization
Organization Name:SILBERBERG DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VERA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILBERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:818-693-9333
Mailing Address - Street 1:239 W OLIVE AVE UNIT 101
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1878
Mailing Address - Country:US
Mailing Address - Phone:818-639-9333
Mailing Address - Fax:
Practice Address - Street 1:239 W OLIVE AVE UNIT 101
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1878
Practice Address - Country:US
Practice Address - Phone:818-639-9333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1790199917OtherPPO ONLY