Individual
DR. MICHAEL L. VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13702 COURSEY BLVD, BUILDING 10, SUITE C, BATON ROUGE, LA 70817-1370
(225) 756-9142
Mailing address
13702 COURSEY BLVD, BUILDING 10, SUITE C, BATON ROUGE, LA 70817-1370
(225) 756-9142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2385
LA
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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