Provider Demographics
NPI:1346453321
Name:VAUGHAN, LEONARD STEPHEN (DDS, MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:STEPHEN
Last Name:VAUGHAN
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Gender:M
Credentials:DDS, MD
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Mailing Address - Street 1:26730 TOWNE CENTRE DRIVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FOOTHILL RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92610
Mailing Address - Country:US
Mailing Address - Phone:949-297-8880
Mailing Address - Fax:949-297-8883
Practice Address - Street 1:26730 TOWNE CENTRE DRIVE
Practice Address - Street 2:SUITE 105
Practice Address - City:FOOTHILL RANCH
Practice Address - State:CA
Practice Address - Zip Code:92610
Practice Address - Country:US
Practice Address - Phone:949-297-8880
Practice Address - Fax:949-297-8883
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2020-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAOMS 611223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery