Organization
PHILLIPS FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH AULT WHITE (PRACTICE MANAGER)
(724) 452-9732
Entity
Organization
Contact information
Practice address
204 N MAIN ST, ZELIENOPLE, PA 16063-2306
(724) 452-9732
Mailing address
204 N. MAIN ST., ZELIENOPLE, PA 16063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS017888L
PA
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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