Individual
DR. TROTTER VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1212 N COLE RD, BOISE, ID 83704-8646
(208) 375-4253
(208) 322-6337
Mailing address
1212 N COLE RD, BOISE, ID 83704-8646
(208) 375-4253
(208) 322-6337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4221
ID
1223G0001X
General Practice Dentistry
5015
OR
Other
Enumeration date
11/09/2006
Last updated
06/20/2012
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