Pearland Modern Dentistry, PC
Dentist, General Practice in Pearland, TX. Organization (NPI-2).
NPI number1265798367
StatusActive
Last updated in NPPESDec 31, 2013
Details
- NPI
- 1265798367
- Entity type
- Organization (NPI-2)
- Legal business name
- Pearland Modern Dentistry, PC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2012
- Last updated
- Dec 31, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Pearland Modern Dentistry (Doing Business As)
Practice location
2811 Business Center DrSuite 105
Pearland, TX 77584-2149
Phone 713-340-1418 · Fax 713-340-1704
Mailing address
17000 Red Hill AveIrvine, CA 92614-5626
Phone 714-845-8890 · Fax 949-474-1495
Authorized official
John S Barnes
DDS/ Owner
7133401418
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