Provider Demographics
NPI:1134252331
Name:ALBERT R. SILVERA, DDS, PC
Entity type:Organization
Organization Name:ALBERT R. SILVERA, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:SILVERA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-575-0886
Mailing Address - Street 1:2914 SAWTELLE BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-3710
Mailing Address - Country:US
Mailing Address - Phone:310-575-0886
Mailing Address - Fax:310-575-1536
Practice Address - Street 1:2914 SAWTELLE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-3710
Practice Address - Country:US
Practice Address - Phone:310-575-0886
Practice Address - Fax:310-575-1536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA444431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty