Individual provider · Type 1 NPI

John Louis Vicelja, DDS

General Practice Dentistry · Redondo Beach, CA

NPI number 1083875694 Active

Practice location

1711 Via El Prado, 303
Redondo Beach, CA 90277-5714

Call (310) 792-4833 Map

Fax (310) 792-4837

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X33396 (CA)

General Practice Dentistry: 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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About NPI 1083875694

John Louis Vicelja, DDS's National Provider Identifier is 1083875694, issued on Jun 17, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Redondo Beach, CA. The record was last updated on Jun 17, 2008.