NPI | 1568865798 |
---|---|
Doing Business As | BRYAN MODERN DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOHN S BARNES Owner 979-776-1040 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-10-02 |
Last Update Date | 2014-10-02 |