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Organization
PHILLIPS ORTHODONTICS, PLLC
Active
Organization
PHILLIPS ORTHODONTICS, PLLC
Active
Other names
Phillips Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
CARSON RILEY PHILLIPS DDS, MS (PRESIDENT)
(432) 203-6905
Entity
Organization
Contact information
Practice address
4425 W WADLEY AVE STE 100, MIDLAND, TX 79707-5330
(432) 203-6905
Mailing address
4425 W WADLEY AVE STE 100, MIDLAND, TX 79707-5330
(432) 203-6905
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/01/2019
Last updated
05/01/2024
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