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Organization
PHILLIPPI AND KWON DENTISTRY PARTNERSHIP
Active
Organization
PHILLIPPI AND KWON DENTISTRY PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JEFFREY PHILLIPPI D.D.S. (GENERAL PARTNER)
(704) 509-4513
Entity
Organization
Contact information
Practice address
2770 E WT HARRIS BLVD, SUITE 102, CHARLOTTE, NC 28213-4096
(704) 509-4513
(704) 509-4516
Mailing address
2770 E WT HARRIS BLVD, SUITE 102, CHARLOTTE, NC 28213-4096
(704) 509-4513
(704) 509-4516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5170
NC
1223G0001X
General Practice Dentistry
6838
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014V2
—
NC
Enumeration date
06/30/2006
Last updated
08/22/2020
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