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Individual

DR. WESLEY PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
515 RICHLAND STREET, COLUMBIA, SC 29201
(304) 288-7363
Mailing address
515 RICHLAND STREET, COLUMBIA, SC 29201
(304) 288-7363

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8332
SC
1223G0001X
General Practice Dentistry
3896
WV
1223G0001X
General Practice Dentistry
9151
KY

Other

Enumeration date
03/26/2012
Last updated
04/29/2014
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