Gregory A Vivirito, DDS
Dentist in Des Plaines, IL. Individual provider (NPI-1).
NPI number1174612972
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1174612972
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gregory A Vivirito
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 0190016616 | IL | Yes |
Practice location
1475 E OaktonSuite 2
Des Plaines, IL 60018-2166
Phone 847-296-3035 · Fax 847-296-3533
Mailing address
1475 E OaktonSuite 2
Des Plaines, IL 60018-2166
Phone 847-296-3035 · Fax 847-296-3533
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