Individual
DIANA TERUKO VAUGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 WILLIAMS DR STE 111, GEORGETOWN, TX 78628-3268
(877) 800-5722
Mailing address
2423 WILLIAMS DR STE 107, GEORGETOWN, TX 78628-3269
(877) 800-5722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
37797
TX
1223G0001X
General Practice Dentistry
Primary
37797
TX
Other
Enumeration date
08/20/2021
Last updated
07/17/2025
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