Organization
E KEITH PHILLIPS DDS
Active
Other names
E. Keith Phillips DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLERY KEITH PHILLIPS DDS (DENTIST)
(301) 219-0451
Entity
Organization
Contact information
Practice address
10405 MONTGOMERY AVE, KENSINGTON, MD 20895-3357
(301) 219-0451
Mailing address
10405 MONTGOMERY AVE, KENSINGTON, MD 20895-3357
(301) 219-0451
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
4705
MD
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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