# LAREDO ORTHODONTICS, PLLC

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

## Provider details

- **NPI number:** 1760898407
- **Authorized official:** DR. JAMES VANDEBERG DDS, MS (OWNER)
- **Authorized official phone:** (210) 902-9122

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 07/02/2014
- **Last updated:** 07/02/2014