Ronald A. Vitullo, Dds, LLC

NPI #1114009594 in Beavercreek, Ohio

Provider Information

NPI Number: 1114009594
Entity Type: Organization
Organization Name: Ronald A. Vitullo, Dds, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 19, 2006
Last Updated: Sep 10, 2007

Practice Location

Address: 1911 N FAIRFIELD RD
Address 2: SUITE 130
City: Beavercreek
State: Ohio
ZIP Code: 45432-2762
Phone: (937) 426-2253

Authorized Official

Name: DR. RONALD ANTHONY VITULLO, D.D.S.
Title: MEMBER
Phone: (937) 426-2253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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