Bastrop Modern Dentistry,pc

NPI #1093252611 in Bastrop, Texas

Provider Information

NPI Number
1093252611
Entity Type
Organization
Organization Name
Bastrop Modern Dentistry,pc
Primary Specialty
Dentist
Enumeration Date
Jan 20, 2017
Last Updated
Jan 20, 2017

Practice Location

Address
1670 HWY 71 E, SUITE A
State
Texas
ZIP Code
78602
Phone
(512) 240-6496

Authorized Official

Name
DR. JOHN S BARNES, DDS
Title
OWNER DENTIST
Phone
(512) 240-6496

Specialties & Taxonomy Codes

Specialty
Dentist

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