Individual
JANE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2260
Mailing address
1013 SITTING BULL CT, BOX ELDER, SD 57719-2434
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2585
AR
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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