Individual
DR. KATHRYN IRENE VITIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
72 WOBURN ST, MEDFORD, MA 02155-3419
(781) 710-2163
Mailing address
72 WOBURN ST, MEDFORD, MA 02155-3419
(781) 710-2163
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN15732
MA
Other
Enumeration date
02/11/2018
Last updated
02/11/2018
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