Organization
MILFORD LISA RUDOLPH DMD MPH AND PETR VAUGHAN DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETR ALEXANDER VAUGHAN DDS (CEO/CO-FOUNDER)
(937) 245-0390
Entity
Organization
Contact information
Practice address
1106C MAIN ST, MILFORD, OH 45150-1706
(513) 831-3434
Mailing address
5310 WAKEFIELD PL, NORWOOD, OH 45212-1737
(937) 245-0390
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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