Organization
MARK A VITALE DMD & PAUL M TEDESCHI DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A VITALE DMD (PRESIDENT)
(732) 494-7575
Entity
Organization
Contact information
Practice address
69 STATE HIGHWAY 27, EDISON, NJ 08820
(732) 494-7575
(732) 494-4105
Mailing address
69 STATE HIGHWAY 27, EDISON, NJ 08820
(732) 494-7575
(732) 494-4105
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
220I01414100
NJ
122300000X
Dentist
Primary
220I01684700
NJ
Other
Enumeration date
06/17/2006
Last updated
08/22/2020
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