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Organization
32 PEARLS FAMILY DENTISTRY, INC
Active
Organization
32 PEARLS FAMILY DENTISTRY, INC
Active
Other names
32 Pearls
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVIS LORRAINE BARKER D.M.D (CEO/ DENTIST)
(574) 855-3829
Entity
Organization
Contact information
Practice address
15045 STATE ROAD 23, GRANGER, IN 46530-9666
(574) 855-3829
Mailing address
15045 STATE ROAD 23, GRANGER, IN 46530-9666
(574) 855-3829
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011066A
IN
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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