institution
Sujatha H De Silva Dds Pc
Dental Clinic/Center in Staten Island, New York
NPI 1871564054

Sujatha H De Silva Dds Pc is a Dental Clinic/Center based in Staten Island, NY and is specialized in Dental. Sujatha H De Silva Dds Pc practices in Staten Island, NY. The NPI Number for Sujatha H De Silva Dds Pc is 1871564054 and holds a License No. (New York).

The current practice location address for Sujatha H De Silva Dds Pc is 973 Targee Street, Staten Island, NY and can be reached out via phone at 718-556-5432 and via fax at 718-556-5432.

Location: 973 Targee Street, Staten Island, NY, 10304
institution
Provider Profile Details
NPI Number
1871564054
Provider Name
Sujatha H De Silva Dds Pc
Credential
Provider Entity Type
Organization
Address
973 Targee Street, Staten Island, NY, 10304
Phone Number
718-556-5432
Fax Number
718-556-5432
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
973 Targee Street
City
State
Zip
10304
Phone Number
718-556-5432
Fax Number
718-556-5432
person
Provider Business Mailing Address Details
Address
973 Targee Street
City
State
Zip
10304
Phone Number
718-556-5432
Fax Number
718-556-5432
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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