Organization
NORTHWOOD FAMILY DENTAL CENTER
Active
Other names
Fredrick M. Vega, D.D.S., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
FREDRICK M VEGA (PRESIDENT)
(603) 942-5541
Entity
Organization
Contact information
Practice address
1505 FIRST NH TPKE, NORTHWOOD, NH 03261-3217
(603) 942-5541
Mailing address
PO BOX 288, 1505 FIRST NH TURNPIKE, NORTHWOOD, NH 03261-3216
(603) 942-5541
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1857
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30007856
—
NH
Enumeration date
02/27/2008
Last updated
10/17/2012
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