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1740218874
ANTHONY VITALI
GALLUP, NM
NPI
1740218874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: PA DS028849L)
Enumeration Date
2006-06-29
Last Update Date
2008-04-11
Business Address
-- ANTHONY VITALI DMD
516 E. NIZHONI BLVD BOX 1337
GALLUP, NM 87301-1337
Phone number: 505-722-1000
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Mailing Address
-- ANTHONY VITALI DMD
516 E. NIZHONI BLVD PO BOX 1337
GALLUP, NM 87301-1337
Phone number: 505-722-1000
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