Individual
DR. DIMITRI SAMARATUNGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
130 WATER ST, FITCHBURG, MA 01420-5478
(978) 342-8500
Mailing address
130 WATER ST, FITCHBURG, MA 01420-5478
(978) 342-8500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856608
MA
1223G0001X
General Practice Dentistry
DN1856608
MA
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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