Individual
PHILLIP ANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1035 E WILCOX AVE, WHITE CLOUD, MI 49349-8794
(231) 689-1608
(231) 689-3162
Mailing address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-2736
(231) 745-5050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021380
MI
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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