Individual
STEPHEN MICHAEL VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2003 SOUTHERN BLVD SE STE 133, RIO RANCHO, NM 87124-3754
(505) 221-5740
Mailing address
2003 SOUTHERN BLVD SE STE 133, RIO RANCHO, NM 87124-3754
(505) 221-5740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4769
NM
Other
Enumeration date
02/15/2016
Last updated
02/15/2018
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