Individual
DR. GEORGE HIBLER GUERRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
165 W UNIVERSITY DR, MISHAWAKA, IN 46545-1199
(574) 271-1060
Mailing address
52780 BROOKDALE DR, SOUTH BEND, IN 46637-3003
(937) 626-6322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010773A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200930870
—
IN
Enumeration date
01/29/2007
Last updated
08/21/2016
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