Sujatha H De Silva DDS PC
NPI #1447221627 in Port Jervis, New York
Provider Information
- NPI Number
- 1447221627
- Entity Type
- Organization
- Organization Name
- Sujatha H De Silva DDS PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 27, 2006
- Last Updated
- Aug 11, 2009
Practice Location
- Address
- 141 PIKE STREET
- City
- Port Jervis
- State
- New York
- ZIP Code
- 12771
- Phone
- (845) 856-4002
Authorized Official
- Name
- SUJATHA H DE SILVA, DDS
- Title
- PRINCIPAL
- Phone
- (845) 856-4002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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