Individual
DR. VAUGHN CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
120 S 6TH ST, VINELAND, NJ 08360-4605
(856) 692-5533
(856) 692-4990
Mailing address
120 S 6TH ST, VINELAND, NJ 08360-4605
(856) 692-5533
(856) 692-4990
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DI020601
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223674675
TAX ID #
NJ
Enumeration date
12/15/2005
Last updated
07/08/2007
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