Organization
VAC ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA HANSON VACCARIELLO DMD (ORTHODONTIST)
(803) 548-4255
Entity
Organization
Contact information
Practice address
482 MERCANTILE PL STE 104, FORT MILL, SC 29715-2102
(803) 548-4255
Mailing address
482 MERCANTILE PL STE 104, FORT MILL, SC 29715-2102
(803) 548-4255
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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