Organization
DR. PHILLIPS MODERN DENTISTRY, PA
Active
Other names
Doctor Phillips Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINH B PHAM DDS (OWNER DENTIST)
(407) 205-0246
Entity
Organization
Contact information
Practice address
8015 TURKEY LAKE RD, 300, ORLANDO, FL 32819-7383
(407) 205-0246
(407) 641-4041
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/26/2016
Last updated
08/25/2022
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