Individual
BRIANNA L PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1607 E RAINFOREST RD, FAYETTEVILLE, AR 72703-5385
(479) 582-0600
(417) 845-0094
Mailing address
3004 SW HAZELNUT AVE, BENTONVILLE, AR 72713
(417) 438-9133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2019019148
MO
1223G0001X
General Practice Dentistry
Primary
4382
AR
Other
Enumeration date
06/10/2019
Last updated
10/07/2024
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