# LUIS VEGA, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073479663
- **Authorized official:** JENNIFER HERITAGE (CREDENTIALING MANAGER)
- **Authorized official phone:** (402) 805-4516

## Contact information

- **Practice address:** 6520 226TH PL SE STE 205, ISSAQUAH, WA 98027-8969
- **Practice address phone:** (425) 477-7723
- **Practice address fax:** (425) 477-7784
- **Mailing address:** 6520 226TH PL SE STE 205, ISSAQUAH, WA 98027-8969
- **Mailing address phone:** (425) 477-7723
- **Mailing address fax:** (425) 477-7784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2025
- **Last updated:** 12/29/2025
