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Organization
ROANOKE DENTAL GROUP,PC
Active
Organization
ROANOKE DENTAL GROUP,PC
Active
Other names
Roanoke Dental Group and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S BARNES DDS (OWNER DOCTOR)
(817) 345-0695
Entity
Organization
Contact information
Practice address
1320 N HWY 377 SUITE 100, ROANOKE, TX 76262
(817) 345-0695
(817) 635-8439
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8701
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/17/2016
Last updated
02/08/2022
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