Individual
DR. CORIE ANN VITKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1417 LAKESIDE CT, YAKIMA, WA 98902-7354
(509) 494-0121
(509) 494-0171
Mailing address
1417 LAKESIDE CT, YAKIMA, WA 98902-7354
(509) 494-0121
(509) 494-0171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60035282
WA
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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