| Laredo Orthodontics, Pllc | |
|
802 E Calton Rd Laredo TX 78041-3687 | |
| (956) 724-8391 | |
| (956) 724-8396 |
| Full Name | Laredo Orthodontics, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 802 E Calton Rd, Laredo, Texas |
| Authorized Official Name and Position | James Vandeberg (OWNER) |
| Authorized Official Contact | 2109029122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laredo Orthodontics, Pllc 802 E Calton Rd Laredo TX 78041-3687 Ph: (956) 724-8391 | Laredo Orthodontics, Pllc 802 E Calton Rd Laredo TX 78041-3687 Ph: (956) 724-8391 |
| NPI Number | 1760898407 |
|---|---|
| Provider Enumeration Date | 07/02/2014 |
| Last Update Date | 07/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760898407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 23213 (Texas) | Primary |
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