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Individual

DR. DANIEL K VAUGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
17250 N 43RD AVE STE 1, GLENDALE, AZ 85308-4033
(602) 938-7751
Mailing address
17250 N 43RD AVE STE 1, GLENDALE, AZ 85308-4033
(602) 938-7751

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008443
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0141078
LABOR & INDUSTRIES
WA
05
5036199
WA
Enumeration date
09/21/2006
Last updated
10/15/2019
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