Vitiello, Kathryn Irene

Vitiello, Kathryn Irene is an sole proprietor health care provider with primary practice located at 72 Woburn St , Medford MA 02155-3419. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Vitiello, Kathryn Irene can be contacted via phone (781) 710-2163.

Contact Information

Primary practice address
72 Woburn St Medford MA 02155-3419
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN15732 Massachusetts

Profile Details

NPI number 1619476058
LBN Legal business name Vitiello, Kathryn Irene
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2018
Last updated Feb 11th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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