Organization
DR. VAUGHN W TEUSCHER DDS, PS
Active
Other names
Two Rivers Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAUGHN WALLACE TEUSCHER DDS (OWNER)
(360) 256-1202
Entity
Organization
Contact information
Practice address
2415 SE 165TH AVE STE 102, VANCOUVER, WA 98683-4324
(360) 256-1202
(360) 885-3580
Mailing address
2415 SE 165TH AVE STE 102, VANCOUVER, WA 98683-4324
(360) 256-1202
(360) 885-3580
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00006502
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104821289
—
WA
Enumeration date
07/19/2016
Last updated
07/19/2016
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