Keith Phillips, Dmd, Msd, Ps, INC

NPI #1497091243 in Fife, Washington

Provider Information

NPI Number: 1497091243
Entity Type: Organization
Organization Name: Keith Phillips, Dmd, Msd, Ps, INC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 26, 2012
Last Updated: Dec 26, 2012

Practice Location

Address: 5619 VALLEY AVE E
City: Fife
State: Washington
ZIP Code: 98424-2060
Phone: (253) 922-5519

Authorized Official

Name: DR. KEITH MARTIN PHILLIPS, DMD, MSD
Title: OWNER
Phone: (253) 922-5519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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