Individual
DR. JEFFREY SCOTT VIGLIELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
56 LUCAS AVE, KINGSTON, NY 12401-3710
(845) 339-1619
(845) 338-4380
Mailing address
56 LUCAS AVE, KINGSTON, NY 12401-3710
(845) 339-1619
(845) 338-4380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39329
NY
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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