Organization
KENNETH D. VAUGHN DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH DEAN VAUGHN D.D.S. (OWNER)
(775) 626-7772
Entity
Organization
Contact information
Practice address
5901 S LOS ALTOS PKWY, SUITE 100, SPARKS, NV 89436-8616
(775) 626-7772
Mailing address
5901 S LOS ALTOS PKWY, SUITE 100, SPARKS, NV 89436-8616
(775) 626-7772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2537
NV
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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