Organization
NATIONAL ORTHODONTIX MANAGEMENT, LLC
Active
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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