Individual
GUTHRIE POORMAN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
4900 US 231 SOUTH, LAFAYETTE, IN 47909-3443
(765) 538-3688
Mailing address
PO BOX 2453, WEST LAFAYETTE BRA, IN 47996-2453
(765) 497-6453
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12008891A
IN
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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