Individual
DR. JOHN MARK BARRY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(843) 637-0299
Mailing address
1423 MADISON CT, MOUNT PLEASANT, SC 29466-7962
(843) 792-2142
(843) 792-3611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006853
VA
Other
Enumeration date
08/18/2006
Last updated
10/24/2018
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