Individual
DR. JONICE WITHANACHCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
93 STATE ROUTE 183, STANHOPE, NJ 07874-2694
(973) 448-8989
Mailing address
93 STATE ROUTE 183, STANHOPE, NJ 07874-2694
(973) 448-8989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
000088
NY
1223G0001X
General Practice Dentistry
Primary
22DI0023123
NJ
Other
Enumeration date
03/27/2007
Last updated
05/08/2019
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