Individual
DR. VINCENT JOHN FRATTALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. D. S.
Contact information
Practice address
6203 AGENCY LOOP RD, WELLPINIT, WA 99040-0357
(509) 258-4517
(509) 258-4456
Mailing address
PO BOX 357, WELLPINIT, WA 99040-0357
(509) 258-4517
(509) 258-4456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07883
MD
Other
Enumeration date
12/16/2005
Last updated
04/29/2011
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