| 32 Pearls | |
|
15045 State Road 23 Granger IN 46530-9666 | |
| (574) 855-3829 | |
| Not Available |
| Full Name | 32 Pearls |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15045 State Road 23, Granger, Indiana |
| Authorized Official Name and Position | Avis Lorraine Barker (CEO/ DENTIST) |
| Authorized Official Contact | 5748553829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 32 Pearls 15045 State Road 23 Granger IN 46530-9666 Ph: (574) 855-3829 | 32 Pearls 15045 State Road 23 Granger IN 46530-9666 Ph: (574) 855-3829 |
| NPI Number | 1255712154 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 06/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255712154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12011066A (Indiana) | Primary |
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