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Individual
DR. WESLEY PHILLIPS
Active
Individual
DR. WESLEY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8332
SC
1223G0001X
General Practice Dentistry
3896
WV
1223G0001X
General Practice Dentistry
9151
KY
Other
Enumeration date
03/26/2012
Last updated
04/29/2014
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