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DR. VINCENT JOHN FRATTALI D. D. S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1699751115

Individual Registrant:
DR. VINCENT JOHN FRATTALI D. D. S.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
6203 AGENCY LOOP RD  WELLPINIT, WA 99040-0357 US
Tel: 509-258-4517  Fax: 509-258-4456

Contact information for business:
PO BOX 357  WELLPINIT, WA 99040-0357 US
Tel: 509-258-4517  Fax: 509-258-4456

Registration Information:
NPI: 1699751115
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
MD07883

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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