Most Relevant Information
Provider Data
| NPI Number: | 1003195595 |
| Provider Name: | DENNIS ANTHONY VICIDOMINI A.T.,C. |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | RT001392A |
Most Important Dates
| Enumeration Date: | 08/15/2011 |
| Last Updated: | 08/15/2011 |
Provider Practice Location
1905 SPLIT ROCK RD
LANCASTER
PA
176016421
Practice Location Phone/Fax
| Phone: | 7178985515 |
| Fax: |
Provider Mailing Location
1905 SPLIT ROCK RD
LANCASTER
PA
176016421
Provider Mailing Phone/Fax
| Phone: | 7178985515 |
| Fax: |