Prosper Braces Pllc

NPI #1316556061 in Prosper, Texas

Provider Information

NPI Number
1316556061
Entity Type
Organization
Organization Name
Prosper Braces Pllc
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Jul 29, 2020
Last Updated
Jul 30, 2020

Practice Location

Address
821 N COLEMAN ST STE 110
State
Texas
ZIP Code
75078-2305
Phone
(210) 902-9122

Authorized Official

Name
DR. JAMES VANDEBERG, DDS, MS
Title
OWNER
Phone
(210) 902-9122

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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