Most Relevant Information
Provider Data
| NPI Number: | 1003007352 |
| Provider Name: | AVIS LORRAINE BARKER D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 21957 |
Most Important Dates
| Enumeration Date: | 08/01/2007 |
| Last Updated: | 03/12/2010 |
Provider Practice Location
50648 WEEPING WILLOW RUN E
GRANGER
IN
465308750
Practice Location Phone/Fax
| Phone: | 7655327019 |
| Fax: |
Provider Mailing Location
50648 WEEPING WILLOW RUN E
GRANGER
IN
465308750
Provider Mailing Phone/Fax
| Phone: | 7655327019 |
| Fax: |