| NPI | 1811163660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ANTHONY VACCA Pres 704-872-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC NC3727) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |