DR. VINCENT MATTHEW MARDESICH DDS. NPI 1235242306

NPI Information

DR. Vincent Matthew Mardesich, DDS. is a general practice dentist in San Pedro, CA. The provider is 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. DR. Vincent Matthew Mardesich, DDS. NPI is 1235242306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1360 W 6TH ST
STE. 210 ,WEST BUILDING
SAN PEDRO, CA
ZIP 90732-514
Phone: (310) 514-1000
Fax: (310) 514-1005

The enumeration date for this NPI number is 8/15/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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