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Individual

TANYA PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSDH, PHDHP

Contact information

Practice address
407 HATTERAS DR, COATESVILLE, PA 19320-5622
(484) 716-5091
Mailing address
407 HATTERAS DR, COATESVILLE, PA 19320-5622
(484) 716-5091

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH067924
PA

Other

Enumeration date
01/31/2015
Last updated
01/31/2015
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