DR. Trotter Vaughan, DDS

NPI #1710057211 in Boise, Idaho

Provider Information

NPI Number: 1710057211
Entity Type: Individual
Name: DR. Trotter Vaughan, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 9, 2006
Last Updated: Jun 20, 2012

Practice Location

Address: 1212 N COLE RD
City: Boise
State: Idaho
ZIP Code: 83704-8646
Phone: (208) 375-4253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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