MARK LAWRENCE VITALE

WHEATON, IL
NPI1992918478
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019021163)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
Dr. MARK LAWRENCE VITALE
101 E COLE AVE
WHEATON, IL 60187-3105
Phone number: 630-668-0100
Mailing Address
Dr. MARK LAWRENCE VITALE
101 E COLE AVE
WHEATON, IL 60187-3105
Phone number: 630-668-0100
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