DR. Channa D Jayatilaka, DDS, PH.D

NPI #1063612810 in Central Islip, New York

Provider Information

NPI Number: 1063612810
Entity Type: Individual
Name: DR. Channa D Jayatilaka, DDS, PH.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS, PH.D
Enumeration Date: Jul 19, 2007
Last Updated: Jul 19, 2007

Practice Location

Address: 109 CARLETON AVE
City: Central Islip
State: New York
ZIP Code: 11722-3616
Phone: (631) 348-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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