Individual
STEPHEN ADRIAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4750 OKEMOS RD, OKEMOS, MI 48864-1637
(517) 290-8360
Mailing address
3917 GORMAN AVE, LANSING, MI 48906
(517) 327-4712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017323
MI
Other
Enumeration date
11/28/2006
Last updated
04/23/2010
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