Sujatha H Desilva
NPI #1265696058 in Port Jervis, New York
Provider Information
- NPI Number
- 1265696058
- Entity Type
- Organization
- Organization Name
- Sujatha H Desilva
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 11, 2008
- Last Updated
- Jul 11, 2008
Practice Location
- Address
- 141 PIKE ST
- City
- Port Jervis
- State
- New York
- ZIP Code
- 12771-1807
- Phone
- (845) 856-4002
Authorized Official
- Name
- DR. SUJATHA H DESILVA, D.D.S
- Title
- DENTIST
- Phone
- 18458564002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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