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Organization
FRISCO CUSTER STAR DENTAL GROUP, PC
Active
Organization
FRISCO CUSTER STAR DENTAL GROUP, PC
Active
Other names
Custer Star Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S BARNES DDS (CONTRACTS ADMIN)
(972) 540-9977
Entity
Organization
Contact information
Practice address
15950 ELDORADO PKWY SUITE 100, FRISCO, TX 75035
(972) 540-9977
Mailing address
2860 MICHELLE FL 2, IRVINE, CA 92606-1008
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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