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Individual

DR. DAVID PAUL PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1501 S WALDRON RD, SUITE 208, FORT SMITH, AR 72903-2574
(479) 452-2994
(479) 484-5865
Mailing address
PO BOX 10007, FORT SMITH, AR 72917
(479) 452-2994
(479) 484-5865

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2034
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
184553608
AR
Enumeration date
08/30/2006
Last updated
08/01/2012
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