Provider Demographics
NPI:1740500701
Name:SILVA, ALBERTINA NMN (DDS)
Entity type:Individual
Prefix:
First Name:ALBERTINA
Middle Name:NMN
Last Name:SILVA
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 1:14649 VICTORY BLVD
Mailing Address - Street 2:SUITE 24
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-4187
Mailing Address - Country:US
Mailing Address - Phone:818-779-1663
Mailing Address - Fax:818-779-1691
Practice Address - Street 1:14649 VICTORY BLVD
Practice Address - Street 2:SUITE 24
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-4187
Practice Address - Country:US
Practice Address - Phone:818-779-1663
Practice Address - Fax:818-779-1691
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA561761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice