Mardesich, Vincent Matthew

Mardesich, Vincent Matthew is an sole proprietor health care provider with primary practice located at 1360 W 6Th St Ste. 210 ,West Building, San Pedro CA 90732-3514. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mardesich, Vincent Matthew can be contacted via phone (310) 514-1000.

Contact Information

Primary practice address
1360 W 6Th St Ste. 210 ,West Building San Pedro CA 90732-3514
Phone: (310) 514-1000
Fax: (310) 514-1005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 35430 California

Profile Details

NPI number 1235242306
LBN Legal business name Mardesich, Vincent Matthew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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