Individual
JOSE GERARDO VITERI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
605 RANDOLPH RD, COWAN DENTAL CLINIC, FORT SILL, OK 73503-1201
(580) 442-5925
(580) 442-7147
Mailing address
5535 NW CACHE RD, APT. 7 C, LAWTON, OK 73505-3336
(580) 354-9181
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH009281
GA
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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