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Individual

DR. HENRY COSTON VAUGHN III

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
318 HEALTHWEST DR, DOTHAN, AL 36303-1907
(334) 678-1727
(334) 678-1521
Mailing address
3700 QUAIL CREEK DR, DOTHAN, AL 36303-1464
(334) 794-6274

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3802
AL

Other

Enumeration date
06/03/2006
Last updated
07/08/2007
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