Organization
DR JONATHAN R PHIPPS DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN R PHIPPS DMD (PRESIDENT/DENTIST)
(505) 836-0322
Entity
Organization
Contact information
Practice address
6400 CENTRAL AVE SW, ALBUQUERQUE, NM 87105-2033
(505) 836-0322
(505) 836-2040
Mailing address
6400 CENTRAL AVE SW, ALBUQUERQUE, NM 87105-2033
(505) 836-0322
(505) 836-2040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1420
NM
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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