| NPI | 1811268600 |
|---|---|
| Doing Business As | HERITAGE MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN S BARNES Owner Doctor 817-750-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |