Individual
DAVID A. VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1250 FOREST AVE., PORTLAND, ME 04103-1889
(207) 878-6693
(207) 878-6678
Mailing address
1250 FOREST AVE., PORTLAND, ME 04103-1889
(207) 878-6693
(207) 878-6678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3160
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198750000
—
ME
Enumeration date
06/23/2009
Last updated
06/23/2009
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