Individual
DR. STEPHEN MARIO VULTAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
115 THOREAU ST, CONCORD, MA 01742-2443
(978) 371-2792
Mailing address
115 THOREAU ST, CONCORD, MA 01742
(978) 371-2792
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
17902
MA
1223G0001X
General Practice Dentistry
Primary
17902
MA
Other
Enumeration date
01/03/2007
Last updated
08/30/2017
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