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Individual
DR. DILSHAN N GUNAWARDENA
Active
Individual
DR. DILSHAN N GUNAWARDENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD, FACS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10137
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS039854
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD452026
PA
Other
Enumeration date
06/10/2008
Last updated
10/01/2020
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