Organization
BRUSH COUNTRY ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES VANDEBERG (OWNER)
(210) 902-9122
Entity
Organization
Contact information
Practice address
800 N BRYANT ST, PLEASANTON, TX 78064-2550
(210) 543-8000
Mailing address
800 N BRYANT ST, PLEASANTON, TX 78064-2550
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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