Organization
NATIONAL ORTHODONTIX MANAGEMENT, LLC
Active
Other names
Sun Orthodontic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G. VONDRAK DDS (OPERATING MANAGER)
(915) 595-1200
Entity
Organization
Contact information
Practice address
7878 GATEWAY BLVD E, SUITE 201, EL PASO, TX 79915-1802
(915) 595-1200
(915) 590-9708
Mailing address
7878 GATEWAY BLVD E, SUITE 201, EL PASO, TX 79915-1802
(915) 595-1200
(915) 590-9708
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009297504
—
TX
01
—
1730151713
DR. VONDRAK'S INDIVIDUAL NPI
—
Enumeration date
05/01/2008
Last updated
05/01/2008
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