| Lake Conroe Dentistry | |
|
3915 West Davis Street Suite 160 Conroe TX 77304 | |
| (936) 760-2800 | |
| (936) 760-2801 |
| Full Name | Lake Conroe Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3915 West Davis Street, Conroe, Texas |
| Authorized Official Name and Position | John S Barnes (OWNER) |
| Authorized Official Contact | 9367602800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Conroe Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Lake Conroe Dentistry 3915 West Davis Street Suite 160 Conroe TX 77304 Ph: (936) 760-2800 |
| NPI Number | 1457790982 |
|---|---|
| Provider Enumeration Date | 06/18/2013 |
| Last Update Date | 06/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457790982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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