| NPI | 1295140622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DEAN VAUGHN Owner 775-626-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 2537) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |