Organization
VAUGHN PEDIATRIC DENTISTRY LLC
Active
Other names
Vaughn Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA VAUGHN DDS (SOLE MEMBER)
(617) 501-3934
Entity
Organization
Contact information
Practice address
6231 SW 29TH ST STE 100, TOPEKA, KS 66614-4549
(785) 272-6060
Mailing address
6231 SW 29TH ST STE 100, TOPEKA, KS 66614-4549
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
61062
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201105410A
—
KS
Enumeration date
12/22/2017
Last updated
04/15/2021
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