Individual
DR. ALEXANDER PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
120 C AVE STE 100, CORONADO, CA 92118-1992
(626) 619-4356
Mailing address
120 C AVE STE 100, CORONADO, CA 92118-1992
(626) 619-4356
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
103280
CA
Other
Enumeration date
10/24/2018
Last updated
01/06/2021
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