| Cedar Park Modern Dentistry | |
|
1455 E Whitestone Blvd Ste 127 Cedar Park TX 78613-7723 | |
| (512) 259-7171 | |
| Not Available |
| Full Name | Cedar Park Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1455 E Whitestone Blvd Ste 127, Cedar Park, Texas |
| Authorized Official Name and Position | John S Barnes (OWNER) |
| Authorized Official Contact | 5122597171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Park Modern Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Cedar Park Modern Dentistry 1455 E Whitestone Blvd Ste 127 Cedar Park TX 78613-7723 Ph: (512) 259-7171 |
| NPI Number | 1205144920 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 01/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205144920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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