Vincent Peter Mack DDS

NPI 1790854354 - Dentist - 1223G0001X

NPI Details
NPI 1790854354
Gender Male
Enumeration Date 11/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3347 S AIRPORT RD W
STE D
TRAVERSE CITY MI, 49684, US
Phone (231) 929-7737
Fax (231) 929-4366
Business Location
3347 S AIRPORT RD W
STE D
TRAVERSE CITY MI, 49684, US
Phone (231) 929-7737
Fax (231) 929-4366
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 2901014727
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According to our database, Mr. Vincent Peter Mack DDS NPI is 1790854354, taxonomy code is 1223G0001X and license number is 2901014727, license state is located at Michigan. Vincent Peter Mack DDS physically located at 3347 S Airport Rd W, Traverse City MI, 49684. NPI Number Vincent Peter Mack DDS has the Individual type.

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1790854354 NPI number is provided on an as is basis without warranty of any kind. 1790854354 is maintained by the National Plan & Provider Enumeration System. The contents of Vincent Peter Mack DDS are for informational purposes only.