Organization
PHILCO GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON PHILLIPS DDS (OWNER)
(812) 238-3900
Entity
Organization
Contact information
Practice address
3363 S US HIGHWAY 41, TERRE HAUTE, IN 47802-3727
(812) 238-3900
Mailing address
3363 S US HIGHWAY 41, TERRE HAUTE, IN 47802-3727
(812) 238-3900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
BP5507162
IN
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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