Individual
DR. LAWRENCE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
974 BRAGG RD, FREDERICKSBURG, VA 22407-6979
(540) 785-5885
(540) 785-1540
Mailing address
515 LIVINGSTON ST, WESTBURY, NY 11590-2419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401411344
VA
1223G0001X
General Practice Dentistry
Primary
DN015517
GA
Other
Enumeration date
03/14/2008
Last updated
11/12/2020
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