Individual
MRS. GLORIA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2440 FM 2234, #215, MISSOURI CITY, TX 77459
(281) 499-6184
Mailing address
PO BOX 1008, MISSOURI CITY, TX 77459
(281) 449-6184
(281) 493-3156
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112674 01
—
TX
Enumeration date
10/19/2006
Last updated
06/30/2021
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