Individual
JOHN G. VONDRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
920 N TELSHOR BLVD, SUITE E, LAS CRUCES, NM 88011-8244
(505) 521-0900
(505) 522-0154
Mailing address
920 N TELSHOR BLVD, SUITE E, LAS CRUCES, NM 88011-8244
(505) 521-0900
(505) 522-0154
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD2276
NM
Other
Enumeration date
02/03/2006
Last updated
12/18/2007
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