Individual
DR. KELLY ANNE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9020 HIGHWAY 92, SUITE 120, WOODSTOCK, GA 30189-3753
(770) 928-4511
(770) 928-4310
Mailing address
9020 HIGHWAY 92, SUITE 120, WOODSTOCK, GA 30189-3753
(770) 928-4511
(770) 928-4310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012608
GA
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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