Individual
AVIS LORRAINE BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
50648 WEEPING WILLOW RUN E, GRANGER, IN 46530-8750
(765) 532-7019
Mailing address
50648 WEEPING WILLOW RUN E, GRANGER, IN 46530-8750
(765) 532-7019
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011066A
IN
1223G0001X
General Practice Dentistry
21957
MA
Other
Enumeration date
08/01/2007
Last updated
03/12/2010
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