JOSE GERARDO VITERI

FORT SILL, OK
NPI1114994043
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: GA  DH009281)
Enumeration Date2006-02-28
Last Update Date2007-07-08
Business Address
-- JOSE GERARDO VITERI RDH
605 RANDOLPH RD COWAN DENTAL CLINIC
FORT SILL, OK 73503-1201
Phone number: 580-442-5925
Mailing Address
-- JOSE GERARDO VITERI RDH
5535 NW CACHE RD APT. 7 C
LAWTON, OK 73505-3336
Phone number: 580-354-9181