Individual
DR. LAUREN E. VITKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
404 WILLIAM ST, SUITE 4, GENEVA, NY 14456-2143
(315) 789-2045
Mailing address
404 WILLIAM ST, SUITE 4, GENEVA, NY 14456-2143
(315) 789-2045
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
058551
NY
Other
Enumeration date
05/07/2014
Last updated
01/24/2017
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