Organization
PHILLIPS ORTHODONTICS, PLLC
Active
Other names
Phillips Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
CARSON RILEY PHILLIPS DDS, MS (PRESIDENT)
(432) 203-6905
Entity
Organization
Contact information
Practice address
4425 W WADLEY AVE STE 100, MIDLAND, TX 79707-5330
(432) 203-6905
Mailing address
4425 W WADLEY AVE STE 100, MIDLAND, TX 79707-5330
(432) 203-6905
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2024
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