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General NPI Number Information
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NPI Number | 1639563430
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Entity Type | Individual
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Provider Name | IROSHINI JEANNE PERERA D.D.S., M.S.D.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2015
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 4690 NATOMAS BLVD STE 130
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City | SACRAMENTO
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State | CA
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Zip | 95835-2230
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Country | US
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Telephone | 916-419-5435
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Fax |
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Provider Business Mailing Address
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Address Line | 8505 BERG ST STE 150
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City | GRANITE BAY
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State | CA
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Zip | 95746-9067
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Country | US
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Telephone | 408-368-1608
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 64369
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License Number State | CA
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