Individual
MS. SANDRA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
686 LEXINGTON AVE, BROOKLYN, NY 11221-2205
(917) 362-5465
Mailing address
686 LEXINGTON AVE, BROOKLYN, NY 11221-2205
(917) 362-5465
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0186181
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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