Individual
DR. MARY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
600 VALHI BLVD, HOUMA, LA 70360-5976
(985) 872-3677
Mailing address
411 DONALD DR, THIBODAUX, LA 70301-6975
(504) 559-8221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7561
LA
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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