| NPI | 1205144920 |
|---|---|
| Doing Business As | CEDAR PARK MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN S BARNES Owner 512-259-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2014-01-02 |