Individual
DR. JULIA L ENDRIZZI VECCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
451 W GONZALES RD STE 300, OXNARD, CA 93036-9003
(805) 983-0100
Mailing address
451 W GONZALES RD STE 300, OXNARD, CA 93036-9003
(805) 983-0100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
024803
NJ
122300000X
Dentist
DS038099
PA
1223P0221X
Pediatric Dentistry
Primary
D60951
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI02480300
NEW JERSEY BOARD OF DENTISTRY
NJ
01
—
D60951
DENTAL LICENSE CALIFORNIA
CA
01
—
DS03899
STATE LICENSE NUMBER
PA
Enumeration date
10/13/2009
Last updated
10/27/2020
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