Individual
ELIZABETH LODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1003 W MCGALLIARD RD, MUNCIE, IN 47303-1768
(765) 288-1307
Mailing address
1003 W MCGALLIARD RD, MUNCIE, IN 47303-1768
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012984A
IN
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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