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Individual

DR. PHILLIP ALEXANDER SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1348 TIMBERLANE RD, TALLAHASSEE, FL 32312-1766
(850) 878-5131
(850) 878-3521
Mailing address
1913 CAPITAL CIR NE, TALLAHASSEE, FL 32308-4421
(850) 878-5131
(850) 878-3521

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
15493
FL

Other

Enumeration date
12/04/2006
Last updated
10/24/2019
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