Organization · Type 2 NPI

JRV Orthodontics, PLLC

Dental Clinic/Center · Live Oak, TX

NPI number 1508363698 Active

Practice location

12315 Judson Rd Ste 218
Live Oak, TX 78233-3264

Call (210) 656-3531 Map

Mailing address

8536 Alydar Cir
Boerne, TX 78015-4434

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	23213 (TX)

Dental Clinic/Center: Definition to come...

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NPI record

NPI: 1508363698
Entity type: Organization (Type 2)
Issued: Apr 6, 2018
Last updated: Apr 6, 2018
Status: Active

Other names

<unavail>
San Antonio Orthodontics · doing business as
San Antonio Orthodontics · doing business as

Authorized official

Dr. James Vandeberg, DDS, MS
Owner
(210) 902-9122

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About NPI 1508363698

JRV Orthodontics, PLLC's National Provider Identifier is 1508363698, issued on Apr 6, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Live Oak, TX. The record was last updated on Apr 6, 2018.