Individual
HALEY KI'LES VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 SARDIS RD N, CHARLOTTE, NC 28270-2405
(843) 754-8548
Mailing address
5105 MALVASIA CT, SUMMERVILLE, SC 29485-8954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13277
NC
Other
Enumeration date
04/14/2023
Last updated
12/27/2025
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