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Marie Michelle Vitullo
General Practice Dentistry in Buffalo, New York
NPI 1093108284

Marie Michelle Vitullo is a General Practice Dentistry based in Buffalo, NY and is specialized in General Practice. Marie Michelle Vitullo practices in Buffalo, NY. The NPI Number for Marie Michelle Vitullo is 1093108284 and holds a License No. (New York).

The current practice location address for Marie Michelle Vitullo is 3495 Bailey Ave, Buffalo, NY and can be reached out via phone at 716-862-7804.

Location: 3495 Bailey Ave, Buffalo, NY, 14215-1129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093108284
Provider Name
Marie Michelle Vitullo
Credential
Provider Entity Type
Individual
Gender
Female
Address
3495 Bailey Ave, Buffalo, NY, 14215-1129
Phone Number
716-862-7804
Fax Number
Provider Enumeration Date
03/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3495 Bailey Ave
City
Buffalo
State
New York
Zip
14215-1129
Phone Number
716-862-7804
Fax Number
person
Provider Business Mailing Address Details
Address
3495 Bailey Ave
City
Buffalo
State
New York
Zip
14215-1129
Phone Number
716-862-7804
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
058504 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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