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Sujatha H De Silva Dds Pc
Dental Clinic/Center in Port Jervis, New York
NPI 1447221627

Sujatha H De Silva Dds Pc is a Dental Clinic/Center based in Port Jervis, NY and is specialized in Dental. Sujatha H De Silva Dds Pc practices in Port Jervis, NY. The NPI Number for Sujatha H De Silva Dds Pc is 1447221627 and holds a License No. (New York).

The current practice location address for Sujatha H De Silva Dds Pc is 141 Pike Street, Port Jervis, NY and can be reached out via phone at 845-856-4002 and via fax at 845-856-4002.

Location: 141 Pike Street, Port Jervis, NY, 12771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447221627
Provider Name
Sujatha H De Silva Dds Pc
Credential
Provider Entity Type
Organization
Address
141 Pike Street, Port Jervis, NY, 12771
Phone Number
845-856-4002
Fax Number
845-856-4002
Provider Enumeration Date
01/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00946341 05 NY
institution
Provider Business Practice Location Address Details
Address
141 Pike Street
City
Port Jervis
State
New York
Zip
12771
Phone Number
845-856-4002
Fax Number
845-856-4002
person
Provider Business Mailing Address Details
Address
141 Pike Street
City
Port Jervis
State
New York
Zip
12771
Phone Number
845-856-4002
Fax Number
845-856-4002
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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