# VANDEBERG ORTHODONTICS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285816231
- **Authorized official:** DR. JAMES VANDEBERG D.D.S. M.S. (OWNER)
- **Authorized official phone:** (210) 543-8000

## Contact information

- **Practice address:** 9822 POTRANCO RD STE 105, SAN ANTONIO, TX 78251-9608
- **Practice address phone:** (210) 543-8000
- **Practice address fax:** (210) 543-8002
- **Mailing address:** 9822 POTRANCO RD STE 105, SAN ANTONIO, TX 78251-9608
- **Mailing address phone:** (210) 543-8000
- **Mailing address fax:** (210) 543-8002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 23213 | TX | Yes |

## Other

- **Enumeration date:** 12/02/2007
- **Last updated:** 12/02/2007