STEPHEN VITAL DMD INC

Preferred Provider Organization

Active Organization
NPI: 1619134079

Practice Address

3505 E BROWN RD
SUITE 102
Mesa, AZ 85213

Phone: (480) 924-6169

Specialties

Specialty Code Primary License
Preferred Provider Organization 305R00000X Yes 3270 (AZ)

Frequently Asked Questions

NPI 1619134079 is the National Provider Identifier for STEPHEN VITAL DMD INC, a Preferred Provider Organization provider located in Mesa, AZ. This NPI was enumerated on May 21, 2008.

Quick Facts

NPI
1619134079
Type
Organization
Enumerated
May 21, 2008
Last Updated
May 21, 2008

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