| Prosper Braces Pllc | |
|
821 N Coleman St Ste 110 Prosper TX 75078-2305 | |
| (210) 902-9122 | |
| Not Available |
| Full Name | Prosper Braces Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 821 N Coleman St Ste 110, Prosper, 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 |
|---|---|
| Prosper Braces Pllc 8608 Summer Song Cir Boerne TX 78015-4432 Ph: (210) 902-9122 | Prosper Braces Pllc 821 N Coleman St Ste 110 Prosper TX 75078-2305 Ph: (210) 902-9122 |
| NPI Number | 1316556061 |
|---|---|
| Provider Enumeration Date | 07/29/2020 |
| Last Update Date | 07/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316556061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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