Organization
KELLY VAUGHN DDS PC
Active
Other names
FIRST CHOICE DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA L FALVAI (PRACTICE ADMIN)
(678) 581-0063
Entity
Organization
Contact information
Practice address
1610 RIDENOUR BLVD NW, SUITE 103, KENNESAW, GA 30152-4484
(678) 581-0063
(678) 581-0246
Mailing address
1610 RIDENOUR BLVD NW, SUITE 103, KENNESAW, GA 30152-4484
(678) 581-0063
(678) 581-0246
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012608
GA
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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