Jeffrey Mark Phillip, D.D.S.

NPI #1316197007 in Oakland Gardens, New York

Provider Information

NPI Number: 1316197007
Entity Type: Individual
Name: Jeffrey Mark Phillip, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Sep 30, 2008
Last Updated: Sep 30, 2008

Practice Location

Address: 22442 64TH AVE
Address 2: SUITE B
City: Oakland Gardens
State: New York
ZIP Code: 11364-2327
Phone: (718) 225-3103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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