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Individual

DR. VINCENT VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2803
(757) 953-8635
Mailing address
15 CORTLAND DR, SOMERSET, NJ 08873-1713
(703) 786-0662

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415666
VA

Other

Enumeration date
06/05/2017
Last updated
06/05/2017
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