Organization
KEITH PHILLIPS, DMD, MSD, PS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH MARTIN PHILLIPS DMD, MSD (OWNER)
(253) 922-5519
Entity
Organization
Contact information
Practice address
5619 VALLEY AVE E, FIFE, WA 98424-2060
(253) 922-5519
(253) 922-2719
Mailing address
5619 VALLEY AVE E, FIFE, WA 98424-2060
(253) 922-5519
(253) 922-2719
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00007693
WA
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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