| NPI | 1174829162 |
|---|---|
| Doing Business As | AUSTIN MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN S BARNES Contracts Admin 512-892-0817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |