Individual
DR. RAEGAN VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2209 S MAIN ST, GROVE, OK 74344-5329
(918) 786-5533
Mailing address
57 HEFFELMAN DR, GROVE, OK 74344-4549
(918) 786-5533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6824
OK
Other
Enumeration date
05/31/2016
Last updated
06/29/2024
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