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1295180933
KEERTHI SHETTY VITTAL
BERGENFIELD, NJ
NPI
1295180933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NJ 22D102615500)
Enumeration Date
2016-05-02
Last Update Date
2018-03-17
Business Address
DR. KEERTHI SHETTY VITTAL DDS
359 S WASHINGTON AVE
BERGENFIELD, NJ 07621-4311
Phone number: 201-385-2500
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Mailing Address
DR. KEERTHI SHETTY VITTAL DDS
675 HANDWERG DR
RIVER VALE, NJ 07675-6410
Phone number: 201-783-9889
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