Individual
DR. MICHAEL L PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7758
Mailing address
1677 SCHOELLKOPF RD, LAKE VIEW, NY 14085-9521
(716) 627-4366
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
047206
NY
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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