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Organization

LEAGUE CITY MODERN DENTISTRY AND ORTHODONTICS, PC

Active
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Organization

LEAGUE CITY MODERN DENTISTRY AND ORTHODONTICS, PC

Active
Other names
League City Modern Dentistry and Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN S BARNES DDS (OWNER DOCTOR)
(281) 332-0980
Entity
Organization

Contact information

Practice address
1620 WEST FM 646 SUITE D, LEAGUE CITY, TX 77573
(281) 332-0980
(281) 332-1042
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
08/13/2012
Last updated
12/31/2013
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