Individual
RICHARD PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HYGIENIST
Contact information
Practice address
200 KENDALL DR STE 1, LAMAR, CO 81052-3940
(719) 336-8445
(719) 336-0265
Mailing address
200 KENDALL DR STE 1, LAMAR, CO 81052-3940
(719) 336-8445
(719) 336-0265
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH906612
CO
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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