Mark A Vitale, DMD Valid NPI
Individual provider · Dentist · Edison, NJ
- NPI
- 1700992526
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 22DI014141 (NJ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-22
- Last updated
- 2007-07-08
Practice location
69 State Highwy 27
Edison, NJ 08820
(732) 494-7575