Organization
RODEO DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP B CALDWELL DDS, MSD (ORTHODONTIST)
(512) 787-1977
Entity
Organization
Contact information
Practice address
2815 BAY WEST BLVD, HORSESHOE BAY, TX 78657
(512) 787-1977
(830) 596-7568
Mailing address
PO BOX 4642, HORSESHOE BAY, TX 78657-4642
(512) 787-1977
(830) 596-7568
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9192
TX
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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