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Individual

DAVID M PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5048
(704) 671-1404
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5048
(704) 671-1404

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5877
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8996864
NC
Enumeration date
12/19/2005
Last updated
08/28/2015
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