# JRV ORTHODONTICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Antonio Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508363698
- **Authorized official:** DR. JAMES VANDEBERG DDS, MS (OWNER)
- **Authorized official phone:** (210) 902-9122

## Contact information

- **Practice address:** 12315 JUDSON RD STE 218, LIVE OAK, TX 78233-3264
- **Practice address phone:** (210) 656-3531
- **Mailing address:** 8536 ALYDAR CIR, BOERNE, TX 78015-4434
- **Mailing address phone:** (210) 902-9122

## Taxonomy

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

## Other

- **Enumeration date:** 04/06/2018
- **Last updated:** 04/06/2018