| Lebanon Petr Vaughan Dds Llc | |
|
600 Columbus Ave Lebanon OH 45036-1606 | |
| (937) 453-8410 | |
| Not Available |
| Full Name | Lebanon Petr Vaughan Dds Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 600 Columbus Ave, Lebanon, Ohio |
| Authorized Official Name and Position | Petr Vaughan (OWNER) |
| Authorized Official Contact | 9372450390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebanon Petr Vaughan Dds Llc 4881 Cooper Rd Cincinnati OH 45242-6902 Ph: () - | Lebanon Petr Vaughan Dds Llc 600 Columbus Ave Lebanon OH 45036-1606 Ph: (937) 453-8410 |
| NPI Number | 1093696411 |
|---|---|
| Provider Enumeration Date | 09/11/2025 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093696411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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