Organization
CEDAR PARK MODERN DENTISTRY, PC
Active
Other names
Cedar Park Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S BARNES DDS (OWNER)
(512) 259-7171
Entity
Organization
Contact information
Practice address
1455 E WHITESTONE BLVD STE 127, CEDAR PARK, TX 78613-7723
(512) 259-7171
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/15/2010
Last updated
01/02/2014
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