Kenneth D. Vaughn Dds, Pllc

NPI #1295140622 in Sparks, Nevada

Provider Information

NPI Number: 1295140622
Entity Type: Organization
Organization Name: Kenneth D. Vaughn Dds, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 24, 2014
Last Updated: Jun 24, 2014

Practice Location

Address: 5901 S LOS ALTOS PKWY
Address 2: SUITE 100
City: Sparks
State: Nevada
ZIP Code: 89436-8616
Phone: (775) 626-7772

Authorized Official

Name: MR. KENNETH DEAN VAUGHN, D.D.S.
Title: OWNER
Phone: (775) 626-7772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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