Individual
JOHN VAKKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
1575 HIGHLANDS DR, SUITE 106, LITITZ, PA 17543-7507
(717) 627-2299
Mailing address
1575 HIGHLANDS DR, SUITE 106, LITITZ, PA 17543-7507
(717) 627-2299
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS037719
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS037719
PA
Other
Enumeration date
05/22/2008
Last updated
01/27/2017
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