NPI | 1255712154 |
---|---|
Doing Business As | 32 PEARLS |
Entity Type | Organization |
Authorized Contact | AVIS LORRAINE BARKER CEO/ Dentist 574-855-3829 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12011066A) |
Enumeration Date | 2015-06-16 |
Last Update Date | 2015-06-16 |