Individual
ELIZABETH STANDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.D.
Contact information
Practice address
3743 LANDMARK DR STE 300, LAFAYETTE, IN 47905-6656
(765) 340-7790
(765) 680-0303
Mailing address
1125 KINGSWOOD RD S, WEST LAFAYETTE, IN 47906-4671
(409) 370-0570
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12012992A
IN
1223P0221X
Pediatric Dentistry
Primary
12012992A
IN
Other
Enumeration date
07/14/2015
Last updated
12/16/2024
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