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Organization
THOMAS E. STANDLEY, DMD, PC
Active
Organization
THOMAS E. STANDLEY, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E STANDLEY DMD (OWNER/OPERATOR)
(217) 355-5600
Entity
Organization
Contact information
Practice address
30 E GREEN ST, SUITE 1, CHAMPAIGN, IL 61820-7905
(217) 355-5600
(217) 355-4550
Mailing address
30 E GREEN ST, SUITE 1, CHAMPAIGN, IL 61820-7905
(217) 355-5600
(217) 355-4550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
023924
IL
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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