Raegan Vaughan, DDS Valid NPI
Individual provider · General Practice Dentistry · Grove, OK
- NPI
- 1184072191
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 6824 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-05-31
- Last updated
- 2024-06-29
Practice location
2209 S Main St
Grove, OK 74344-5329
(918) 786-5533