MEDICARE: DR. AILYN DC SILVESTRY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN13823	FL

General Provider Information

NPI Number	:	1215056874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AILYN DC SILVESTRY DDS

Provider Business Mailing Address
First Line	:	11400 N KENDALL DR STE 207
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-1029
Country	:	US
Telephone Number	:	305-271-7777
Fax Number	:

Provider Business Practice Location Address
First Line	:	11400 N KENDALL DR STE 207
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-1029
Country	:	US
Telephone Number	:	305-271-7777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/08/2007

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