NPI | 1518306042 |
---|---|
Doing Business As | SOUTHPARK MEADOWS DENTAL GROUP AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JOHN S BARNES Owner 512-291-8012 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2013-06-18 |
Last Update Date | 2013-06-18 |