# MARY L. VINCKIER, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326146317
- **Authorized official:** DR. MARY L. VINCKIER D.D.S. (OWNER)
- **Authorized official phone:** (810) 387-2262

## Contact information

- **Practice address:** 333 GORDON DR., SUITE B, YALE, MI 48097
- **Practice address phone:** (810) 387-2262
- **Practice address fax:** (810) 387-4207
- **Mailing address:** 333 GORDON DR., SUITE B, YALE, MI 48097
- **Mailing address phone:** (810) 387-2262
- **Mailing address fax:** (810) 387-4207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 08/22/2020