Organization
BASTROP MODERN DENTISTRY,PC
Active
Other names
Bastrop Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S BARNES DDS (OWNER DENTIST)
(512) 240-6496
Entity
Organization
Contact information
Practice address
1670 HWY 71 E, SUITE A, BASTROP, TX 78602
(512) 240-6496
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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