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Organization
PHILLIPS DENTISTRY, PS.
Active
Organization
PHILLIPS DENTISTRY, PS.
Active
Other names
Distinctive Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH MARTIN PHILLIPS D.M.D., M.S.D. (OWNER)
(253) 922-6822
Entity
Organization
Contact information
Practice address
5615 VALLEY AVE E, TACOMA, WA 98424-2060
(253) 922-6822
(253) 922-3513
Mailing address
5615 VALLEY AVE E, FIFE, WA 98424-2060
(253) 922-6822
(253) 922-3513
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
NULL
261QD0000X
Dental Clinic/Center
Primary
—
WA
Other
Enumeration date
09/06/2011
Last updated
01/08/2016
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