Individual
DR. VINCENT MICHAEL DEBITETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18-00 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2330
(551) 286-3040
Mailing address
25 SOUNDVIEW DR, EASTCHESTER, NY 10709-1526
(914) 473-0600
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
13923
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI03028500
NJ
Other
Enumeration date
02/16/2020
Last updated
07/10/2024
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