Individual
MR. PHILIP JAMES SPORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15521 REAL ESTATE AVE, SUITE 200, KING GEORGE, VA 22485-5327
(540) 693-0631
Mailing address
15521 REAL ESTATE AVE, SUITE 200, KING GEORGE, VA 22485-5327
(540) 693-0631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413422
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5057872
—
WA
Enumeration date
08/21/2008
Last updated
10/16/2012
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