Individual
DR. KELLY STANDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1700 EAGLE HARBOR PARKWAY EAST, ORANGE PARK, FL 32003
(904) 269-6558
(904) 278-9292
Mailing address
1700 EAGLE HARBOR PARKWAY EAST, ORANGE PARK, FL 32003
(904) 269-6558
(904) 278-9292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20176
FL
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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