DR. Cosmo August Vivirito, DMD
NPI #1588236897 in St Charles, Illinois
Provider Information
- NPI Number
- 1588236897
- Entity Type
- Individual
- Name
- DR. Cosmo August Vivirito, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jul 15, 2021
- Last Updated
- Jul 15, 2021
Practice Location
- Address
- 2210 DEAN ST STE J1
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60175-1059
- Phone
- (630) 377-9008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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