Individual
DR. LALINDA WICKRAMASINGHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
430 MAIN ST, GREEN BAY, WI 54301-5115
(920) 431-0345
Mailing address
4046 W 13 MILE RD APT D, ROYAL OAK, MI 48073-6643
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002059-15
WI
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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