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Organization

LAREDO ORTHODONTICS, PLLC

Active
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Organization

LAREDO ORTHODONTICS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES VANDEBERG DDS, MS (OWNER)
(210) 902-9122
Entity
Organization

Contact information

Practice address
802 E CALTON RD, LAREDO, TX 78041-3687
(956) 724-8391
(956) 724-8396
Mailing address
802 E CALTON RD, LAREDO, TX 78041-3687
(956) 724-8391
(956) 724-8396

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23213
TX

Other

Enumeration date
07/02/2014
Last updated
07/02/2014
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