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Individual

DR. DARREL GENE VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
NAVY MEDICINE READINESS AND TRAINING UNIT, 1711 DOOLITTLE AVE, NAS JRB FORT WORTH, FORT WORTH, TX 76127
(817) 782-5905
Mailing address
2857 MEADOW WOOD DR E, CHESAPEAKE, VA 23321-4243
(757) 966-1635

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18318
TX

Other

Enumeration date
02/23/2006
Last updated
10/18/2023
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