Individual
DR. JAMES ROBERT VANDEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.
Contact information
Practice address
9822 POTRANCO RD, SUITE 105, SAN ANTONIO, TX 78251-9607
(210) 543-8000
(210) 543-8002
Mailing address
9822 POTRANCO RD, SUITE 105, SAN ANTONIO, TX 78251-9607
(210) 543-8000
(210) 543-8002
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23213
TX
Other
Enumeration date
11/15/2007
Last updated
12/02/2007
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