Four Seasons Dental PA

NPI #1619072261 in Mineral Wells, Texas

Provider Information

NPI Number: 1619072261
Entity Type: Organization
Organization Name: Four Seasons Dental PA
Primary Specialty: Dentist
Enumeration Date: Sep 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 510 SE 1ST ST
City: Mineral Wells
State: Texas
ZIP Code: 76067
Phone: (940) 328-1131

Authorized Official

Name: MRS. SASKIA CHRISTINA VAUGHAN, DDS
Title: DENTIST/PRESIDENT/SECRETARY
Phone: (940) 328-1131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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