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Individual

CATHY WHITE VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 WHITLOCK AVE SW, SUITE A, MARIETTA, GA 30064-1944
(770) 428-5959
Mailing address
1001 WHITLOCK AVE SW, SUITE A, MARIETTA, GA 30064-1944
(770) 428-5959

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10190
GA

Other

Enumeration date
03/17/2007
Last updated
11/29/2016
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