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Organization

DENTISTS OF LAKE WORTH PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN S BARNES (OWNER)
(817) 778-0117
Entity
Organization

Contact information

Practice address
6532 LAKE WORTH BLVD, LAKE WORTH, TX 76135-3002
(817) 778-0117
(817) 778-4041
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12406
TX

Other

Enumeration date
04/03/2018
Last updated
08/25/2022
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