| NPI | 1952001794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANDREW VAUGHN Orthodontist 660-530-0209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |