Organization
JRV ORTHODONTICS, PLLC
Active
Other names
San Antonio Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES VANDEBERG DDS, MS (OWNER)
(210) 902-9122
Entity
Organization
Contact information
Practice address
12315 JUDSON RD STE 218, LIVE OAK, TX 78233-3264
(210) 656-3531
Mailing address
8536 ALYDAR CIR, BOERNE, TX 78015-4434
(210) 902-9122
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23213
TX
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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