Individual
DR. KASUN RAJAPKSHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3175 FIRESTONE BLVD, SOUTH GATE, CA 90280-3595
(323) 484-1020
Mailing address
18102 FAYSMITH AVE, TORRANCE, CA 90504-3910
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
BEING RENEWED
MA
Other
Enumeration date
08/17/2015
Last updated
06/18/2021
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