MR. John Louis Vicelja, D.D.S.
NPI #1083875694 in Redondo Beach, California
Provider Information
- NPI Number
- 1083875694
- Entity Type
- Individual
- Name
- MR. John Louis Vicelja, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jun 17, 2008
- Last Updated
- Jun 17, 2008
Practice Location
- Address
- 1711 VIA EL PRADO
- Address 2
- 303
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90277-5714
- Phone
- (310) 792-4833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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