Individual
DR. LAURA HANSON VACCARIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
482 MERCANTILE PL, STE 104, FORT MILL, SC 29715-2102
(803) 548-4255
(803) 409-0333
Mailing address
482 MERCANTILE PL, STE 104, FORT MILL, SC 29715-2102
(803) 548-4255
(803) 409-0333
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8706
SC
Other
Enumeration date
06/23/2013
Last updated
11/08/2017
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