Individual
DR. JONATHAN BRUCE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1630 S STAPLEY DR STE 208, MESA, AZ 85204-6659
(480) 775-2656
Mailing address
1630 S STAPLEY DR STE 208, MESA, AZ 85204-6659
(480) 775-2656
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
D009064
AZ
1223E0200X
Endodontics
Primary
D9064
AZ
1223G0001X
General Practice Dentistry
8350105-9921
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/23/2012
Last updated
07/21/2022
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