Organization
NATIONAL ORTHODONTIX MANAGEMENT, LLC
Active
Other names
Orthodontix, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G. VONDRAK DDS (OPERATING MANAGER)
(915) 231-9983
Entity
Organization
Contact information
Practice address
7500 N MESA, SUITE 304, EL PASO, TX 79912-3512
(915) 231-9983
(915) 231-9966
Mailing address
7500 N MESA, SUITE 304, EL PASO, TX 79912-3512
(915) 231-9983
(915) 231-9966
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113053
—
TX
Enumeration date
12/11/2006
Last updated
08/27/2007
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