Individual
DR. VAUGHN W TEUSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2415 SE 165TH AVE, STE 102, VANCOUVER, WA 98683-4324
(360) 256-1202
(360) 885-3580
Mailing address
2415 SE 165TH AVE, STE 102, VANCOUVER, WA 98683-4324
(360) 256-1202
(360) 885-3580
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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