| Boerne Orthodontics, Pllc | |
|
215 W Bandera Rd Suite # 112 Boerne TX 78006-2820 | |
| (830) 331-8008 | |
| Not Available |
| Full Name | Boerne Orthodontics, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 215 W Bandera Rd, Boerne, Texas |
| Authorized Official Name and Position | James Vandeberg (OWNER) |
| Authorized Official Contact | 8303318008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boerne Orthodontics, Pllc 215 West Bandera Road Suite # 112 Boerne TX 78006 Ph: (210) 902-9122 | Boerne Orthodontics, Pllc 215 W Bandera Rd Suite # 112 Boerne TX 78006-2820 Ph: (830) 331-8008 |
| NPI Number | 1932515020 |
|---|---|
| Provider Enumeration Date | 07/09/2014 |
| Last Update Date | 07/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932515020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 23213 (Texas) | Primary |
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