# DR. VAUGHN W TEUSCHER DDS, PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Two Rivers Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326491895
- **Authorized official:** DR. VAUGHN WALLACE TEUSCHER DDS (OWNER)
- **Authorized official phone:** (360) 256-1202

## Contact information

- **Practice address:** 2415 SE 165TH AVE STE 102, VANCOUVER, WA 98683-4324
- **Practice address phone:** (360) 256-1202
- **Practice address fax:** (360) 885-3580
- **Mailing address:** 2415 SE 165TH AVE STE 102, VANCOUVER, WA 98683-4324
- **Mailing address phone:** (360) 256-1202
- **Mailing address fax:** (360) 885-3580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00006502 | WA | Yes |

## Other

- **Enumeration date:** 07/19/2016
- **Last updated:** 07/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1104821289 | — | WA |