Individual
ELMER J VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 N STONEWALL AVE, RM 265, OKLAHOMA CITY, OK 73117-1214
(405) 271-4711
(405) 271-2922
Mailing address
1201 N STONEWALL AVE, RM 265, OKLAHOMA CITY, OK 73117-1214
(405) 271-4711
(405) 271-2922
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4072
OK
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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