Individual
DR. BRADLEY L PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2018 ROCK SPRING RD, FOREST HILL, MD 21050-2631
(410) 879-4444
(410) 893-0112
Mailing address
15927 YORK RD, SPARKS, MD 21152-9343
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8121
MD
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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