DR. Thomas Gerard Vaccaro, D.D.S.

NPI #1356482681 in Fairfax, Virginia

Provider Information

NPI Number: 1356482681
Entity Type: Individual
Name: DR. Thomas Gerard Vaccaro, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Feb 9, 2007
Last Updated: Aug 31, 2012

Practice Location

Address: 11130 FAIRFAX BLVD
City: Fairfax
State: Virginia
ZIP Code: 22030-5035
Phone: (703) 591-1007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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