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Organization
JRV ORTHODONTICS, PLLC
Active
Organization
JRV ORTHODONTICS, PLLC
Active
Other names
San Antonio Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES VANDEBERG DDS, MS (OWNER)
(210) 902-9122
Entity
Organization
Contact information
Practice address
12315 JUDSON RD STE 218, LIVE OAK, TX 78233-3264
(210) 656-3531
Mailing address
8536 ALYDAR CIR, BOERNE, TX 78015-4434
(210) 902-9122
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23213
TX
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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