Individual
JANET L VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
4461 S STAPLES ST, CORPUS CHRISTI, TX 78411-2601
(361) 992-8161
(361) 992-9075
Mailing address
4461 S STAPLES ST, CORPUS CHRISTI, TX 78411-2601
(361) 992-8161
(361) 992-9075
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10019
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10019
STATE DENTAL LICENSE
TX
Enumeration date
03/27/2007
Last updated
07/08/2007
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