Organization
RONALD A. VITULLO, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD ANTHONY VITULLO D.D.S. (MEMBER)
(937) 426-2253
Entity
Organization
Contact information
Practice address
1911 N FAIRFIELD RD, SUITE 130, BEAVERCREEK, OH 45432-2762
(937) 426-2253
(937) 426-7891
Mailing address
1911 N FAIRFIELD RD, SUITE 130, BEAVERCREEK, OH 45432-2762
(937) 426-2253
(937) 426-7891
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-022225
OH
Other
Enumeration date
10/19/2006
Last updated
09/10/2007
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