Individual
EDWARD VAUGHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
78 LYNOAK CV, JACKSON, TN 38305-2800
(731) 668-2795
(731) 668-1012
Mailing address
78 LYNOAK CV, JACKSON, TN 38305-2800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2035
TN
Other
Enumeration date
10/11/2005
Last updated
07/08/2007
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