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Individual

MRS. LILIA VAUGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH,BSDH

Contact information

Practice address
9225 DOERR RD BLDG 1220, FT BELVOIR, VA 22060-2204
(571) 231-6006
Mailing address
9225 DOERR RD BLDG 1220, FT BELVOIR, VA 22060-2204
(571) 231-6006

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
07591
NC

Other

Enumeration date
05/30/2019
Last updated
06/14/2022
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