Individual
DR. ALDEN KEITH PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1341 WESTGATE CENTER DR STE B, WINSTON SALEM, NC 27103-3043
(336) 765-3712
(336) 760-0667
Mailing address
1341 WESTGATE CENTER DR STE B, WINSTON SALEM, NC 27103-3043
(336) 765-3712
(336) 760-0667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5742
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990155
—
NC
Enumeration date
02/20/2007
Last updated
09/21/2007
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