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Organization
IRELAND PARK DENTISTRY
Active
Organization
IRELAND PARK DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVIS L BARKER DMD (PARTNER)
(574) 291-8022
Entity
Organization
Contact information
Practice address
1902 E IRELAND RD, SOUTH BEND, IN 46614-2863
(574) 291-8022
(574) 291-7868
Mailing address
1902 E IRELAND RD, SOUTH BEND, IN 46614-2863
(574) 291-8022
(574) 291-7868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011066A
IN
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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