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Organization

ROCKWALL MODERN DENTISTRY AND ORTHODONTICS, PC

Active
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Organization

ROCKWALL MODERN DENTISTRY AND ORTHODONTICS, PC

Active
Other names
Rockwall Modern Dentistry and Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN BARNES (OWNER-DDS)
(972) 722-4914
Entity
Organization

Contact information

Practice address
1039 E INTERSTATE 30, SUITE 107, ROCKWALL, TX 75087-4899
(972) 722-4914
(972) 722-5030
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(714) 474-1495

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12406
TX

Other

Enumeration date
05/09/2012
Last updated
01/02/2014
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