DR. Vincent Matthew Mardesich, DDS.
NPI #1235242306 in San Pedro, California
Provider Information
- NPI Number
- 1235242306
- Entity Type
- Individual
- Name
- DR. Vincent Matthew Mardesich, DDS.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS.
- Enumeration Date
- Aug 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1360 W 6TH ST
- Address 2
- STE. 210 ,WEST BUILDING
- City
- San Pedro
- State
- California
- ZIP Code
- 90732-3514
- Phone
- (310) 514-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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