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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