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Individual

DAVID M PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2110 ENTERPRISE ST SE STE 201, KENTWOOD, MI 49508-5050
(616) 249-9002
(616) 249-0046
Mailing address
2110 ENTERPRISE ST SE STE 201, KENTWOOD, MI 49508-5050
(616) 249-9002
(616) 249-0046

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014827
MI

Other

Enumeration date
03/18/2007
Last updated
07/08/2007
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