Organization
KENT L. PHILLIPS, D.D.S., M.S., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT L. PHILLIPS D.D.S., M.S. (OWNER)
(775) 332-1750
Entity
Organization
Contact information
Practice address
7550 W LAKE MEAD BLVD STE 6, LAS VEGAS, NV 89128-1001
(702) 242-9777
(702) 242-9265
Mailing address
7550 W LAKE MEAD BLVD STE 6, LAS VEGAS, NV 89128-1001
(702) 242-9777
(702) 242-9265
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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