Individual
DR. BLAIR RUSS BARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
12171 W PARMER LN, SUITE 102, CEDAR PARK, TX 78613-7361
(512) 260-0084
Mailing address
12171 W PARMER LN, SUITE 102, CEDAR PARK, TX 78613-7361
(512) 260-0084
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23168
TX
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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