Individual
RAFFAELE VITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1710 E PINE ST STE D, CENTRAL POINT, OR 97502-2811
(541) 665-1112
Mailing address
680 N HASKELL ST UNIT 3, CENTRAL POINT, OR 97502-2586
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11492
OR
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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