Individual
DR. CHELESA R PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1531 MARYLAND AVE NE, WASHINGTON, DC 20002
(202) 470-5873
Mailing address
702 WAVELAND AVE, CAPITOL HEIGHTS, MD 20743-3251
(713) 256-1234
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
17453
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN1001856
DC
Other
Enumeration date
06/03/2013
Last updated
03/07/2024
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