Individual
DR. ALAN LEE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
108 2ND ST NW, WAVERLY, IA 50677-2619
(319) 352-2270
Mailing address
108 2ND ST NW, WAVERLY, IA 50677-2619
(319) 352-2270
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07078
IA
Other
Enumeration date
07/26/2006
Last updated
11/26/2007
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