Individual
DR. ANTWON VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7318 BELL CREEK RD, MECHANICSVILLE, VA 23111-3545
(678) 790-8136
Mailing address
7318 BELL CREEK RD, MECHANICSVILLE, VA 23111-3545
(804) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417905
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2022
Last updated
06/05/2022
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