Individual
DR. CARSON RILEY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
4425 W WADLEY AVE STE 100, MIDLAND, TX 79707
(432) 203-6905
Mailing address
4425 W WADLEY AVE STE 100, MIDLAND, TX 79707-5330
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30324
TX
Other
Enumeration date
03/07/2015
Last updated
05/01/2024
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