| NPI | 1861912412 |
|---|---|
| Other Name | PATRICK T VAUGHN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: MN 72276) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: MN D13879) |
| 122300000X Dentist (Licence: MN D13879) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MN D13879) | |
| Enumeration Date | 2017-06-25 |
| Last Update Date | 2024-01-19 |