Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VINCENT MATTHEW MARDESICH, DDS.
Active Sole ProprietorDR. VINCENT MATTHEW MARDESICH, DDS. is a General Dentistry healthcare provider located in SAN PEDRO, California. NPI 1235242306 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SAN PEDRO, CA
Registration Details
- NPI Number
- 1235242306
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2006 (19.969495219592 yrs)
- Last Updated
- Jul 8, 2007
- License
-
35430 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1360 W 6TH STSTE. 210 ,WEST BUILDINGSAN PEDRO, CA, 907323514Browse CA providers · Browse ZIP 90732
- Phone
- 3105141000
- Fax
- 3105141005
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SAN PEDRO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SHEILA LYNNE BARRON-JACOBS | D.D.S. | 1063413490 |
| DR. HSIAO P PENG | D.D.S. | 1457330201 |
| DR. ANTHONY FRANCIS RUBINO | D.D.S. | 1306864020 |
| DR. NICHOLAS STEPHEN JAKSIC | DDS | 1285656645 |
| DR. SUSAN ANN SHEETS | DDS | 1730193517 |
| DR. ALIDA BRSCIC-BIASI | D.D.S. | 1326141292 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.