Individual
DONOVAN HUSTON PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2550 SANDY PLAINS RD STE 145, MARIETTA, GA 30066-7221
(770) 321-2755
Mailing address
2550 SANDY PLAINS RD STE 145, MARIETTA, GA 30066-7221
(770) 321-2755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015521
GA
1223G0001X
General Practice Dentistry
DN015521
GA
Other
Enumeration date
08/25/2017
Last updated
01/19/2024
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