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Individual

PHILIP BAXTER WEST JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
500 S 2ND ST, CARLISLE, IA 50047
(515) 989-0447
Mailing address
PO BOX 564, 500 S 2ND ST, CARLISLE, IA 50047
(515) 989-0447

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
06547
IA

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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