Organization
BANDERA MODERN DENTISTRY, PC
Active
Other names
Bandera Modern Dentistry, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S BARNES (DDS- OWNER)
(210) 681-1121
Entity
Organization
Contact information
Practice address
9234 NORTH LOOP 1604 W, SUITE 121, SAN ANTONIO, TX 78249
(210) 681-1121
(210) 681-1321
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12406
TX
Other
Enumeration date
04/11/2012
Last updated
01/02/2014
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