Organization
THOMAS G VACCARO DDS,PC
Active
Other names
Owner
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS GERARD VACCARO (PRESIDENT)
(703) 591-1007
Entity
Organization
Contact information
Practice address
11130 FAIRFAX BLVD STE 201, FAIRFAX, VA 22030-5035
(703) 591-1007
Mailing address
11130 FAIRFAX BLVD STE 201, FAIRFAX, VA 22030-5035
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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