Organization
PHILLIPS DENTISTRY, PS.
Active
Other names
Distinctive Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH MARTIN PHILLIPS D.M.D., M.S.D. (OWNER)
(253) 922-6822
Entity
Organization
Contact information
Practice address
5615 VALLEY AVE E, TACOMA, WA 98424-2060
(253) 922-6822
(253) 922-3513
Mailing address
5615 VALLEY AVE E, FIFE, WA 98424-2060
(253) 922-6822
(253) 922-3513
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
WA
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
09/06/2011
Last updated
01/08/2016
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