Individual
DR. MICHAEL JOSEPH VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
111 PARK ST, SUITE 1E, NEW HAVEN, CT 06511-5412
(203) 865-2874
Mailing address
111 PARK ST, SUITE 1E, NEW HAVEN, CT 06511-5412
(203) 865-2874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7303
CT
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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