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Individual

DR. RUCHIRA PRABHA GUNAWARDENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5632 THE ALAMEDA, BALTIMORE, MD 21239-2737
(410) 435-0008
(410) 435-0444
Mailing address
2221 E BIJOU ST STE 1002221E, COLORADO SPRINGS, CO 80909-8008
(719) 576-1850
(719) 955-3470

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14507
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029566300
MD
05
093365800
DC
Enumeration date
09/24/2009
Last updated
06/13/2019
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