Individual
DR. STEPHEN DOMINICK VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6651 CHIPPEWA ST, SUITE 100, ST LOUIS, MO 63109-2530
(314) 647-2424
(314) 647-2466
Mailing address
6651 CHIPPEWA, STE 100, ST LOUIS, MO 63109-2530
(314) 647-2424
(314) 647-2466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12555
MO
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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