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Individual
MICHELLE PHILLIPS
Active
Individual
MICHELLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
35831
TX
1223G0001X
General Practice Dentistry
059944
NY
1223G0001X
General Practice Dentistry
Primary
35831
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2017
Last updated
07/25/2024
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