JOHN WILLIAM VITALE

TOMS RIVER, NJ
NPI1134201809
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: NJ  22DI01153300)
Enumeration Date2006-10-20
Last Update Date2007-12-13
Business Address
JOHN WILLIAM VITALE DMD
388 LAKEHURST RD
TOMS RIVER, NJ 08755-7340
Phone number: 732-240-6616
Mailing Address
JOHN WILLIAM VITALE DMD
388 LAKEHURST RD
TOMS RIVER, NJ 08755-7340
Phone number: 732-240-6616