Individual
DR. STEPHEN JOSEPH VITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3505 E BROWN RD, SUITE 102, MESA, AZ 85213-5508
(480) 924-6169
Mailing address
3505 E BROWN RD, SUITE 102, MESA, AZ 85213-5508
(480) 924-6169
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3270
AZ
Other
Enumeration date
03/23/2006
Last updated
05/20/2008
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