Organization
CAMMACK ORTHODONTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD VAN CAMMACK II D.D.S., M.S. (PRESIDENT)
(409) 384-8121
Entity
Organization
Contact information
Practice address
2051 S WHEELER ST STE A, JASPER, TX 75951-5600
(409) 384-8121
(409) 384-5337
Mailing address
2051 S WHEELER ST STE A, JASPER, TX 75951-5600
(409) 384-8121
(409) 384-5337
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
20846
TX
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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