NPI: 1568114528 · FORT MILL, SC 29715 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 01/21/2022
| Authorized Official | VACCARIELLO, LAURA (ORTHODONTIST) |
| NPI Enumeration Date | 01/21/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $606.00 |
| 2024 | 210 | $11K |