Individual
DR. TIMOTHY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
115 BANK ST, LODI, OH 44254-1001
(330) 948-1243
(330) 948-4706
Mailing address
115 BANK ST, LODI, OH 44254-1001
(330) 948-1243
(330) 948-4706
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.025077
OH
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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