Individual
DREW PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
319 NE VIVION RD, KANSAS CITY, MO 64118-4510
(816) 459-0000
Mailing address
4507 NE 103RD TER, KANSAS CITY, MO 64156-2901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2024024237
MO
122300000X
Dentist
62167
KS
Other
Enumeration date
06/14/2024
Last updated
07/15/2024
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