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Organization
KATY MODERN DENTISTRY AND ORTHODONTICS PC
Active
Organization
KATY MODERN DENTISTRY AND ORTHODONTICS PC
Active
Other names
Katy Modern Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S BARNES DDS (DDS-OWNER)
(281) 392-8222
Entity
Organization
Contact information
Practice address
25621 NELSON WAY, SUITE 110, KATY, TX 77494
(281) 392-8222
(281) 392-7722
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
04/11/2012
Last updated
12/31/2013
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