Organization
LEBANON PETR VAUGHAN DDS LLC
Active
Other names
Lebanon Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PETR VAUGHAN DDS (OWNER)
(937) 245-0390
Entity
Organization
Contact information
Practice address
600 COLUMBUS AVE, LEBANON, OH 45036-1606
(937) 453-8410
Mailing address
4881 COOPER RD, CINCINNATI, OH 45242-6902
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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