David A. Vaughan, D.D.S.
Dentist in Portland, ME. Individual provider (NPI-1).
NPI number1114155652
StatusActive
Last updated in NPPESJun 23, 2009
Details
- NPI
- 1114155652
- Entity type
- Individual (NPI-1)
- Name
- David A. Vaughan
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2009
- Last updated
- Jun 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 3160 | ME | Yes |
Practice location
1250 Forest Ave.Portland, ME 04103-1889
Phone 207-878-6693 · Fax 207-878-6678
Mailing address
1250 Forest Ave.Portland, ME 04103-1889
Phone 207-878-6693 · Fax 207-878-6678
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