Provider Demographics
NPI:1679273346
Name:PEREIRA CARDENAS, SILENE ANDREHINA
Entity type:Individual
Prefix:DR
First Name:SILENE
Middle Name:ANDREHINA
Last Name:PEREIRA CARDENAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3423 LEANING WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4103
Mailing Address - Country:US
Mailing Address - Phone:786-250-7202
Mailing Address - Fax:
Practice Address - Street 1:16103 W LITTLE YORK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-6868
Practice Address - Country:US
Practice Address - Phone:786-250-7202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX401751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice