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Individual
PATRICK T VAUGHN
Active
Individual
PATRICK T VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D13879
MN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D13879
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
72276
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D13879
MN
Other
Enumeration date
06/25/2017
Last updated
01/19/2024
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