Individual
DR. ANDREW PHILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3802 BROOKSIDE DR, TYLER, TX 75701-9420
(903) 581-0581
Mailing address
3802 BROOKSIDE DR, TYLER, TX 75701-9420
(903) 581-0581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28049
TX
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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