Individual
DR. RUSSELL WILBUR PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1625 K ST NW, SUITE #1 LL, WASHINGTON, DC 20006-1604
(202) 463-2090
(202) 463-7868
Mailing address
1625 K ST NW, SUITE #1 LL, WASHINGTON, DC 20006-1604
(202) 463-2090
(202) 463-7868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3717
DC
Other
Enumeration date
05/09/2007
Last updated
08/22/2019
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