| Round Rock Modern Dentistry | |
|
2150 E Palm Valley Blvd Suite 500 Round Rock TX 78665-1529 | |
| (512) 218-1900 | |
| (512) 218-1901 |
| Full Name | Round Rock Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2150 E Palm Valley Blvd, Round Rock, Texas |
| Authorized Official Name and Position | John S Barnes (OWNER) |
| Authorized Official Contact | 5122181900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Round Rock Modern Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Round Rock Modern Dentistry 2150 E Palm Valley Blvd Suite 500 Round Rock TX 78665-1529 Ph: (512) 218-1900 |
| NPI Number | 1346646981 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 11/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346646981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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