Individual
DR. JANITH PERERA JAYATILAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
6750 COLBY LN, BLOOMFIELD HILLS, MI 48301-2947
(248) 331-6848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602136
MI
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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