Individual
MIGUEL RAFAEL VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
164 SCOTT ST STE 5, MERIDEN, CT 06450-7281
(203) 639-1400
(203) 639-1999
Mailing address
56 HIDDEN VALLEY DR, MERIDEN, CT 06451-2207
(203) 639-1400
(203) 639-1999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009492
CT
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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