Crystal L Phillips, DDS

NPI #1124100243 in Grove, Oklahoma

Provider Information

NPI Number: 1124100243
Entity Type: Individual
Name: Crystal L Phillips, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 19, 2006
Last Updated: Jun 17, 2011

Practice Location

Address: 2610 SHASTEN ST
City: Grove
State: Oklahoma
ZIP Code: 74344-4904
Phone: (918) 786-5735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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