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Individual
DANIEL JOSEPH PHILLIPS
Active
Individual
DANIEL JOSEPH PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS039957
PA
1223G0001X
General Practice Dentistry
DS039957
PA
1223P0300X
Periodontics
Primary
DS039957
PA
Other
Enumeration date
03/16/2015
Last updated
08/03/2023
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