Organization
DR. VINCENT MACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KALEENA RUTH SLADE (OFFICE MANAGER)
(231) 929-7737
Entity
Organization
Contact information
Practice address
3347 S AIRPORT RD W STE D, TRAVERSE CITY, MI 49684-7939
(231) 929-7737
Mailing address
3347 S AIRPORT RD W STE D, TRAVERSE CITY, MI 49684-7939
(231) 929-7737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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