Provider Demographics
NPI:1962566398
Name:SILVESTRO, CRISTINA (DDS)
Entity type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:
Last Name:SILVESTRO
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 1:546 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-2880
Mailing Address - Country:US
Mailing Address - Phone:781-438-3199
Mailing Address - Fax:781-438-0205
Practice Address - Street 1:546 MAIN ST
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-2880
Practice Address - Country:US
Practice Address - Phone:781-438-3199
Practice Address - Fax:781-438-0205
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA187981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice