| Milford Lisa Rudolph Dmd Mph And Petr Vaughan Dds, Llc | |
|
1106c Main St Milford OH 45150-1706 | |
| (513) 831-3434 | |
| Not Available |
| Full Name | Milford Lisa Rudolph Dmd Mph And Petr Vaughan Dds, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1106c Main St, Milford, Ohio |
| Authorized Official Name and Position | Petr Alexander Vaughan (CEO/CO-FOUNDER) |
| Authorized Official Contact | 9372450390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milford Lisa Rudolph Dmd Mph And Petr Vaughan Dds, Llc 5310 Wakefield Pl Norwood OH 45212-1737 Ph: (937) 245-0390 | Milford Lisa Rudolph Dmd Mph And Petr Vaughan Dds, Llc 1106c Main St Milford OH 45150-1706 Ph: (513) 831-3434 |
| NPI Number | 1407603558 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407603558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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