Organization
PROSPER BRACES 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
821 N COLEMAN ST STE 110, PROSPER, TX 75078-2305
(210) 902-9122
Mailing address
8608 SUMMER SONG CIR, BOERNE, TX 78015-4432
(210) 902-9122
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/30/2020
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