| NPI | 1366870131 |
|---|---|
| Doing Business As | CHAMPIONS MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN S BARNES Owner 281-880-9469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |