Vincent Matthew Mardesich in San Pedro - General Practice
Vincent Matthew Mardesich - NPI 1235242306
Vincent Matthew Mardesich is a General Practice in San Pedro, California. Vincent Matthew Mardesich practices all healthcare services and medical treatments related to General Practice. The NPI Number for Vincent Matthew Mardesich is 1235242306. The last update date is 2007-07-08.
Vincent Matthew Mardesich's current location address is 1360 W 6th St, San Pedro, California. You can contact this provider via phone number 3105141000 and fax number 3105141005. The mailing address for Vincent Matthew Mardesich is 1360 W 6th St, San Pedro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vincent Matthew Mardesich |
|---|---|
| Address | 1360 W 6th St, San Pedro, California |
| Phone Number | 3105141000 |
| Fax Number | 3105141005 |
| Sole Proprietor | Y |
| Credentials | DDS. |
NPI Number Detail
| NPI Number | 1235242306 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1360 W 6th St |
|---|---|
| City | San Pedro |
| State | California (CA) |
| Post Code | 907323514 |
| Phone Number | 3105141000 |
| Fax Number | 3105141005 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 35430 |
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Definition: 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. |
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What is the unique 10-digit identification code assigned to Vincent Matthew Mardesich by the Centers for Medicare & Medicaid Services?
The Vincent Matthew Mardesich has been issued the NPI (National Provider Identifier) 1235242306, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Vincent Matthew Mardesich located?
The Vincent Matthew Mardesich is located at 1360 W 6Th St, San Pedro, CA 907323514.
What is Vincent Matthew Mardesich's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Vincent Matthew Mardesich is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Vincent Matthew Mardesich receive its 1235242306 assignment from the Centers for Medicare & Medicaid Services?
The Vincent Matthew Mardesich was assigned its 1235242306 by the Centers for Medicare & Medicaid Services on 2006-08-15.
When was the information regarding Vincent Matthew Mardesich most recently updated?
The details pertaining to the Vincent Matthew Mardesich, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.