DR. Sujatha Hettiarachchi Desilva, DDS
NPI #1639251846 in Port Jervis, New York
Provider Information
- NPI Number
- 1639251846
- Entity Type
- Individual
- Name
- DR. Sujatha Hettiarachchi Desilva, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 19, 2006
- Last Updated
- Jan 25, 2012
Practice Location
- Address
- 141 PIKE ST
- City
- Port Jervis
- State
- New York
- ZIP Code
- 12771-1807
- Phone
- (845) 856-4002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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