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Individual
DR. VAUGHN W TEUSCHER
Active
Individual
DR. VAUGHN W TEUSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006502
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146076
DEPT. OF L&I
WA
05
—
5017140
—
WA
01
—
56502
WASHINGTON DENTAL SERVICE
WA
Enumeration date
06/16/2005
Last updated
07/08/2007
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