Individual
THIMANTHI WITHANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1132 N CHINOWTH ST, VISALIA, CA 93291-7896
(559) 838-5161
Mailing address
1132 N CHINOWTH ST, VISALIA, CA 93291-7896
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11374
CA
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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