Organization
NATIONAL ORTHODONTIX MANAGEMENT, LLC
Active
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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