Individual
DR. DIANNE TYLER PHILP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2719 E 7TH ST, AUSTIN, TX 78702-3907
(512) 473-8444
(512) 473-2025
Mailing address
PO BOX 6616, AUSTIN, TX 78762-6616
(512) 473-8444
(512) 473-2025
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14115
TX
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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