Individual
ELIZABETH T. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10274 E BOYER RD, CARSON CITY, MI 48811-9746
(989) 584-3941
(989) 584-6579
Mailing address
PO BOX 5000, CARSON CITY, MI 48811-5000
(989) 584-3941
(989) 584-6579
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017329
MI
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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