| NPI | 1265779508 |
|---|---|
| Doing Business As | GRAND LAKES DENTAL GROUP AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JOHN S BARNES Owner 281-574-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-12-31 |