Individual
DR. MICHAEL EDWARD VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2655 DALLAS HWY SW, SUITE 510, MARIETTA, GA 30064-2597
(770) 422-8776
Mailing address
2655 DALLAS HWY SW, SUITE 510, MARIETTA, GA 30064-2597
(770) 422-8776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10371
GA
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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