Individual
BIVIN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 AGORA DR, SUITE 2B, BEL AIR, MD 21014-6859
(410) 879-4363
Mailing address
1201 AGORA DR, SUITE 2B, BEL AIR, MD 21014-6859
(410) 879-4363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12412
MD
Other
Enumeration date
09/19/2007
Last updated
01/12/2011
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