Organization
RICHARD L. DEVAUGHN D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L DEVAUGHN (PRESIDENT/OWNER)
(580) 233-2044
Entity
Organization
Contact information
Practice address
702 E PARK ST, ENID, OK 73701-5930
(580) 233-2044
(580) 233-1533
Mailing address
702 E PARK ST, ENID, OK 73701-5930
(580) 233-2044
(580) 233-1533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3153
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200064070 A
—
OK
Enumeration date
04/23/2008
Last updated
04/23/2008
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