Organization
AUSTIN MODERN DENTISTRY, PC
Active
Other names
Austin Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S BARNES DDS (CONTRACTS ADMIN)
(512) 892-0817
Entity
Organization
Contact information
Practice address
3601 W WILLIAM CANNON DR BLDG 4, AUSTIN, TX 78749-1533
(512) 892-0817
(512) 899-2111
Mailing address
2860 MICHELLE FL 2, IRVINE, CA 92606-1008
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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