Organization
SUJATHA H DE SILVA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUJATHA H DE SILVA DDS (PRINCIPAL)
(718) 556-5432
Entity
Organization
Contact information
Practice address
973 TARGEE STREET, STATEN ISLAND, NY 10304
(718) 556-5432
(718) 556-5432
Mailing address
973 TARGEE STREET, STATEN ISLAND, NY 10304
(718) 556-5432
(718) 556-5432
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00946341
—
NY
Enumeration date
01/27/2006
Last updated
08/25/2009
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