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2555 League City Pkwy Suite 160 League City TX 77573 | |
| (713) 346-9997 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2555 League City Pkwy Suite 160, League City, Texas |
| Authorized Official Name and Position | John S Barnes (OWNER) |
| Authorized Official Contact | 7133469997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8701 | 2555 League City Pkwy Suite 160 League City TX 77573 Ph: (713) 346-9997 |
| NPI Number | 1265899272 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 01/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265899272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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