| Kenneth D. Vaughn Dds, Pllc | |
|
5901 S Los Altos Pkwy Suite 100 Sparks NV 89436-8616 | |
| (775) 626-7772 | |
| Not Available |
| Full Name | Kenneth D. Vaughn Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5901 S Los Altos Pkwy, Sparks, Nevada |
| Authorized Official Name and Position | Kenneth Dean Vaughn (OWNER) |
| Authorized Official Contact | 7756267772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth D. Vaughn Dds, Pllc 5901 S Los Altos Pkwy Suite 100 Sparks NV 89436-8616 Ph: (775) 626-7772 | Kenneth D. Vaughn Dds, Pllc 5901 S Los Altos Pkwy Suite 100 Sparks NV 89436-8616 Ph: (775) 626-7772 |
| NPI Number | 1295140622 |
|---|---|
| Provider Enumeration Date | 06/24/2014 |
| Last Update Date | 06/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295140622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2537 (Nevada) | Primary |
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