Individual
JANATHA WITHANACHCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
71 VALLEY ST STE 100, SOUTH ORANGE, NJ 07079-2825
(862) 250-6952
Mailing address
71 VALLEY ST STE 100, SOUTH ORANGE, NJ 07079-2825
(862) 250-6952
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
056508
NY
1223E0200X
Endodontics
Primary
22DI02398712
NJ
Other
Enumeration date
07/31/2008
Last updated
09/24/2024
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