NPI | 1225385875 |
---|---|
Doing Business As | LEAGUE CITY MODERN DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JOHN S BARNES Owner Doctor 281-332-0980 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-08-13 |
Last Update Date | 2013-12-31 |