| NPI | 1508363698 |
|---|---|
| Doing Business As | SAN ANTONIO ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JAMES VANDEBERG Owner 210-902-9122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 23213) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |