Individual
KEITH PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4401 NW 25TH PL STE G, LE PAVILLION SHOPPING CENTER, GAINESVILLE, FL 32606-6569
(352) 376-8229
Mailing address
4401 NW 25TH PL STE G, LE PAVILLION SHOPPING CENTER, GAINESVILLE, FL 32606-6569
(352) 376-8229
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 9951
FL
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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