Stephen Joseph Vital D.M.D.

NPI 1083673362 - Dentist - 1223G0001X

NPI Details
NPI 1083673362
Gender Male
Enumeration Date 03/23/2006
Last Updated 05/20/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
3505 E BROWN RD
SUITE 102
MESA AZ, 85213-5508, US
Phone (480) 924-6169
Fax
Business Location
3505 E BROWN RD
SUITE 102
MESA AZ, 85213-5508, US
Phone (480) 924-6169
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Arizona
License Number 3270
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According to our database, Dr. Stephen Joseph Vital D.M.D. NPI is 1083673362, taxonomy code is 1223G0001X and license number is 3270, license state is located at Arizona. Stephen Joseph Vital D.M.D. physically located at 3505 E Brown Rd, Mesa AZ, 85213-5508. NPI Number Stephen Joseph Vital D.M.D. has the Individual type.

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1083673362 NPI number is provided on an as is basis without warranty of any kind. 1083673362 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Joseph Vital D.M.D. are for informational purposes only.