Ireland Park Dentistry

NPI #1194265553 in South Bend, Indiana

Provider Information

NPI Number: 1194265553
Entity Type: Organization
Organization Name: Ireland Park Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 6, 2017
Last Updated: Mar 6, 2017

Practice Location

Address: 1902 E IRELAND RD
City: South Bend
State: Indiana
ZIP Code: 46614-2863
Phone: (574) 291-8022

Authorized Official

Name: DR. AVIS L BARKER, DMD
Title: PARTNER
Phone: (574) 291-8022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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