Individual
DR. DENNIS L VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 2ND ST, RADFORD, VA 24141-1432
(540) 639-3002
Mailing address
600 2ND ST, RADFORD, VA 24141-1432
(540) 639-3002
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401-005447
VA
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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