Provider Demographics
NPI:1992835128
Name:URBINA, SYLVIA DIANE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:DIANE
Last Name:URBINA
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 1:735 OCCIDENTAL AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-1056
Mailing Address - Country:US
Mailing Address - Phone:650-343-7904
Mailing Address - Fax:
Practice Address - Street 1:2555 FLORES ST
Practice Address - Street 2:SUITE 400
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-2342
Practice Address - Country:US
Practice Address - Phone:650-573-5700
Practice Address - Fax:650-573-7757
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA335281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice