| NPI | 1538391214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS C VEGA Oral Surgeon 405-848-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA DN1855112) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |