Individual
DR. LUIS GUILLERMO VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6520 226TH PLACE SE, SUITE 205, ISSAQUAH, WA 98027
(425) 477-7723
(425) 477-7784
Mailing address
6520 226TH PLACE SE, SUITE 205, ISSAQUAH, WA 98027
(425) 477-7723
(425) 477-7784
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS9751
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS9751
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00323221
RAILROAD MEDICARE
FL
Enumeration date
07/18/2006
Last updated
10/18/2024
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