| Bandera Modern Dentistry, Pc | |
|
9234 North Loop 1604 W Suite 121 San Antonio TX 78249 | |
| (210) 681-1121 | |
| (210) 681-1321 |
| Full Name | Bandera Modern Dentistry, Pc |
|---|---|
| Speciality | Dentist |
| Location | 9234 North Loop 1604 W, San Antonio, Texas |
| Authorized Official Name and Position | John S Barnes (DDS- OWNER) |
| Authorized Official Contact | 2106811121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bandera Modern Dentistry, Pc 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Bandera Modern Dentistry, Pc 9234 North Loop 1604 W Suite 121 San Antonio TX 78249 Ph: (210) 681-1121 |
| NPI Number | 1184981433 |
|---|---|
| Provider Enumeration Date | 04/11/2012 |
| Last Update Date | 01/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184981433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12406 (Texas) | Primary |
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