Individual
DR. VINCENT PAUL VISSICHELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8363
NC
1223P0221X
Pediatric Dentistry
D3481
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8363
DENTAL LICENCE
NC
01
—
D3481
DENTAL LICENSE
AZ
Enumeration date
12/27/2005
Last updated
09/30/2011
Update your record
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