Organization
BRYAN MODERN DENTISTRY, PC
Active
Other names
Bryan Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S BARNES DDS (OWNER)
(979) 776-1040
Entity
Organization
Contact information
Practice address
3001 WILDFLOWER DR, SUITE511, BRYAN, TX 77802-3061
(979) 776-1040
(979) 776-1048
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
10/02/2014
Last updated
10/02/2014
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