Organization
NATIONAL ORTHODONTIX MGMT LLC
Active
Other names
Orthodontix LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G VONDRAK DDS (PRESIDENT)
(361) 853-1900
Entity
Organization
Contact information
Practice address
5711 MCPHERSON RD, LAREDO, TX 78041-6837
(361) 853-1900
(361) 853-1904
Mailing address
5711 MCPHERSON RD, LAREDO, TX 78041-6837
(361) 853-1900
(361) 853-1904
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009297503
—
TX
05
—
009297504
—
TX
05
—
730151713
—
TX
Enumeration date
10/07/2008
Last updated
10/07/2008
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