| League City Modern Dentistry And Orthodontics | |
|
1620 West Fm 646 Suite D League City TX 77573 | |
| (281) 332-0980 | |
| (281) 332-1042 |
| Full Name | League City Modern Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1620 West Fm 646 Suite D, League City, Texas |
| Authorized Official Name and Position | John S Barnes (OWNER DOCTOR) |
| Authorized Official Contact | 2813320980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| League City Modern Dentistry And Orthodontics 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | League City Modern Dentistry And Orthodontics 1620 West Fm 646 Suite D League City TX 77573 Ph: (281) 332-0980 |
| NPI Number | 1225385875 |
|---|---|
| Provider Enumeration Date | 08/13/2012 |
| Last Update Date | 12/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225385875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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