| Weerasooriya & Weerasooriya, Dmd, Pa | |
|
1861 Placida Rd Suite 105 Englewood FL 34223-4961 | |
| (941) 474-9548 | |
| (941) 475-6745 |
| Full Name | Weerasooriya & Weerasooriya, Dmd, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1861 Placida Rd, Englewood, Florida |
| Authorized Official Name and Position | Chandeev R. Weerasooriya (OWNER) |
| Authorized Official Contact | 9414749548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weerasooriya & Weerasooriya, Dmd, Pa 1861 Placida Rd Suite 105 Englewood FL 34223-4961 Ph: (941) 474-9548 | Weerasooriya & Weerasooriya, Dmd, Pa 1861 Placida Rd Suite 105 Englewood FL 34223-4961 Ph: (941) 474-9548 |
| NPI Number | 1144234113 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144234113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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