Individual
VAUGHN ANDREW JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
801 FLORIDA RD, SUITE 1, DURANGO, CO 81301-4780
(970) 247-3330
Mailing address
801 FLORIDA RD, SUITE 1, DURANGO, CO 81301-4780
(970) 247-3330
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7174
CO
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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