Most Relevant Information
Provider Data
NPI Number: | 1003256868 |
Provider Name: | GLADSTON SILVA D.M.D. |
Entity Type: | Individual |
Taxonomy Code: | 122300000X |
Specialty: | Dentist |
License Number: | DN19869 |
Most Important Dates
Enumeration Date: | 06/26/2013 |
Last Updated: | 06/26/2013 |
Provider Practice Location
1667 N CLYDE MORRIS BLVD STE 1
DAYTONA BEACH
FL
321175500
Practice Location Phone/Fax
Phone: | 3862742021 |
Fax: | 3862741743 |
Provider Mailing Location
1667 N CLYDE MORRIS BLVD STE 1
DAYTONA BEACH
FL
321175500
Provider Mailing Phone/Fax
Phone: | 3862742021 |
Fax: | 3862741743 |