Organization
PHILLIPS DENTAL SLEEP SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN PHILLIPS DMD (AUTHORIZED OFFICIAL)
(201) 891-5154
Entity
Organization
Contact information
Practice address
235 MADISON AVE, WYCKOFF, NJ 07481-1948
(201) 891-5154
Mailing address
235 MADISON AVE, WYCKOFF, NJ 07481-1948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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