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Organization
LAKE JACKSON MODERN DENTISTRY, PC
Active
Organization
LAKE JACKSON MODERN DENTISTRY, PC
Active
Other names
Lake Jackson Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S BARNES DDS (OWNER DOCTOR)
(979) 583-6005
Entity
Organization
Contact information
Practice address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Mailing address
97 OYSTER CREEK DR SUITE 130, LAKE JACKSON, TX 77566
(979) 583-6005
(979) 583-6680
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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