# LOUIS R VITA DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vita Head Neck & Facial Pain Relief Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831386457
- **Authorized official:** DR. LOUIS ROY VITA DDS (DIRECTOR OWNER)
- **Authorized official phone:** (973) 777-1933

## Contact information

- **Practice address:** 991 VAN HOUTEN AVE, CLIFTON, NJ 07013-2643
- **Practice address phone:** (973) 777-1933
- **Practice address fax:** (973) 777-4727
- **Mailing address:** 991 VAN HOUTEN AVE, CLIFTON, NJ 07013-2643
- **Mailing address phone:** (973) 777-1933
- **Mailing address fax:** (973) 777-4727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | MC 05517 | NJ | Yes |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 09/27/2007