Individual
DR. KEERTHI SHETTY VITTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
359 S WASHINGTON AVE, BERGENFIELD, NJ 07621-4311
(201) 385-2500
Mailing address
675 HANDWERG DR, RIVER VALE, NJ 07675-6410
(201) 783-9889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D102615500
NJ
Other
Enumeration date
05/02/2016
Last updated
03/17/2018
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