Stephen Vital DMD Inc
Stephen Vital DMD Inc is a Preferred Provider Organization in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2008.
- Licensed in
- AZ
- In the registry since
- 2008
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3505 E Brown Rd Ste 102Mesa, AZ 85213-5508
Phone: (480) 924-6169
Fax: (480) 924-1077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 3270 (AZ) |
|---|
Record details
| NPI number | 1619134079 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Vital — President · (480) 924-6169 |
| NPI enumerated | May 21, 2008 |
| Last updated in NPPES | May 21, 2008 |
| Mailing address | 3505 E Brown Rd, Suite 102, Mesa, AZ 85213-5508 |
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