| NPI | 1093252611 |
|---|---|
| Doing Business As | BASTROP MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN S BARNES Owner Dentist 512-240-6496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |