Organization
DIMITRY T PHILIPOVITCH, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMITRY PHILIPOVITCH DDS (MANAGER)
(415) 519-7374
Entity
Organization
Contact information
Practice address
9400 N CENTRAL EXPY, SUITE 220, DALLAS, TX 75231-5027
(214) 368-0514
Mailing address
9400 N CENTRAL EXPY, SUITE 220, DALLAS, TX 75231-5027
(214) 368-0514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29435
TX
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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