| NPI | 1184981433 |
|---|---|
| Doing Business As | BANDERA MODERN DENTISTRY, PC |
| Entity Type | Organization |
| Authorized Contact | JOHN S BARNES Dds Owner 210-681-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 12406) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2014-01-02 |