Clera Susan Wijewardene in Simi Valley - Dentist

Clera Susan Wijewardene - NPI 1740331933

Clera Susan Wijewardene is a Dentist in Simi Valley, California. Clera Susan Wijewardene practices all healthcare services and medical treatments related to Dentist. The NPI Number for Clera Susan Wijewardene is 1740331933. The last update date is 2007-07-08.

Clera Susan Wijewardene's current location address is 1397 E Los Angeles Ave, Simi Valley, California. You can contact this provider via phone number 8055278991. The mailing address for Clera Susan Wijewardene is 1397 E Los Angeles Ave, Simi Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Clera Susan Wijewardene
Address 1397 E Los Angeles Ave, Simi Valley, California
Phone Number 8055278991
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1740331933
Provider Enumeration Date 2007-01-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1397 E Los Angeles Ave
City Simi Valley
State California (CA)
Post Code 930652866
Phone Number 8055278991
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 37754
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Clera Susan Wijewardene

What is the unique 10-digit identifier code issued to Clera Susan Wijewardene by the Centers for Medicare & Medicaid Services?

The Clera Susan Wijewardene has been assigned the NPI (National Provider Identifier) 1740331933 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Clera Susan Wijewardene is located?

The Clera Susan Wijewardene is situated at the following address: 1397 E Los Angeles Ave, Simi Valley, CA, 930652866.

What is Clera Susan Wijewardene's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Clera Susan Wijewardene is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1740331933 to Clera Susan Wijewardene?

The Centers for Medicare & Medicaid Services assigned the 1740331933 to Clera Susan Wijewardene on 2007-01-15.

As of what date was the information pertaining to Clera Susan Wijewardene, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Clera Susan Wijewardene, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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