| Ronald A. Vitullo, Dds, Llc | |
|
1911 N Fairfield Rd Suite 130 Beavercreek OH 45432-2762 | |
| (937) 426-2253 | |
| (937) 426-7891 |
| Full Name | Ronald A. Vitullo, Dds, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1911 N Fairfield Rd, Beavercreek, Ohio |
| Authorized Official Name and Position | Ronald Anthony Vitullo (MEMBER) |
| Authorized Official Contact | 9374262253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald A. Vitullo, Dds, Llc 1911 N Fairfield Rd Suite 130 Beavercreek OH 45432-2762 Ph: (937) 426-2253 | Ronald A. Vitullo, Dds, Llc 1911 N Fairfield Rd Suite 130 Beavercreek OH 45432-2762 Ph: (937) 426-2253 |
| NPI Number | 1114009594 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 09/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114009594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30-022225 (Ohio) | Primary |
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