Stephen Vital Dmd INC

NPI #1619134079 in Mesa, Arizona

Provider Information

NPI Number
1619134079
Entity Type
Organization
Organization Name
Stephen Vital Dmd INC
Primary Specialty
Preferred Provider Organization
Enumeration Date
May 21, 2008
Last Updated
May 21, 2008

Practice Location

Address
3505 E BROWN RD
Address 2
SUITE 102
City
Mesa
State
Arizona
ZIP Code
85213-5508
Phone
(480) 924-6169

Authorized Official

Name
DR. STEPHEN J VITAL, DMD
Title
PRESIDENT
Phone
(480) 924-6169

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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