Individual provider · Type 1 NPI

Mark Lawrence Vitale

General Practice Dentistry · Wheaton, IL

NPI number 1992918478 Active

About NPI 1992918478

Mark Lawrence Vitale's National Provider Identifier is 1992918478, issued on May 8, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Wheaton, IL. The record was last updated on Jul 8, 2007.