Kelly A. Vaughn

NPI #1770754426 in Woodstock, Georgia

Provider Information

NPI Number: 1770754426
Entity Type: Organization
Organization Name: Kelly A. Vaughn
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 20, 2008
Last Updated: Apr 2, 2012

Practice Location

Address: 9020 HIGHWAY 92
Address 2: SUITE 120
City: Woodstock
State: Georgia
ZIP Code: 30189-3753
Phone: (770) 928-4511

Authorized Official

Name: MS. ANITA L FALVAI
Title: PRACTICE ADMIN
Phone: (770) 928-4511

Specialties & Taxonomy Codes

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

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