Individual
DR. PHILIP JAMES MIOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1430 16TH AVE, LONGVIEW, WA 98632
(360) 425-2520
(360) 423-7970
Mailing address
1430 16TH AVE, LONGVIEW, WA 98632
(360) 425-2520
(360) 423-7970
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3053
WA
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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