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Individual

DR. CHAD SCHIELE VAUGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
78361 HIGHWAY 25, FOLSOM, LA 70437-3320
(985) 796-9345
Mailing address
78361 HIGHWAY 25, FOLSOM, LA 70437-3320
(985) 796-9345

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5828
LA

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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