| NPI | 1972052629 |
|---|---|
| Doing Business As | MEMORIAL MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN S BARNES Admin 713-300-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |