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Organization
VITAL DENTAL PLLC
Active
Organization
VITAL DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN ANTHONY MILLER D.M.D. (OWNER/CEO)
(847) 721-1667
Entity
Organization
Contact information
Practice address
1590 N RAND RD STE A, PALATINE, IL 60074-8510
(847) 558-7875
(847) 906-3962
Mailing address
516 DIVISION ST, BARRINGTON, IL 60010-4515
(847) 721-1667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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