Individual
PAUL DAVID PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29 NESPELEM SANPOIL STREET, NESPELEM, WA 99155-0071
(509) 634-2900
(509) 634-2990
Mailing address
PO BOX 71, 29 NESPELEM SANPOIL STREET, NESPELEM, WA 99155-0071
(509) 634-2900
(509) 634-2990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005474
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5400189
—
WA
05
—
5400197
—
WA
Enumeration date
12/11/2006
Last updated
10/25/2011
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