Individual
DR. NICHOLAS CHARLES VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-0500
Mailing address
1939 NW 82ND ST, KANSAS CITY, MO 64151-8231
(913) 526-1642
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2003013074
MO
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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