Individual
DR. ELIZABETH ANN KIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18 E WASHINGTON ST, GREENCASTLE, IN 46135
(765) 653-8615
(765) 653-5227
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
(719) 583-1801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011627A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12011627A
INDIANA DENTAL LICENSE NO. 12011627A
IN
Enumeration date
06/07/2011
Last updated
05/14/2018
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