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Individual

DR. PAUL LAWRENCE VITSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1300 THORNTON ST, FREDERICKSBURG, VA 22401-4654
(540) 371-3222
Mailing address
1300 THORNTON ST, FREDERICKSBURG, VA 22401-4654
(540) 371-3222

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5200
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
415770
UNITED CONCORDIA
VA
Enumeration date
03/19/2007
Last updated
07/08/2007
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