DR. Shane L. Phillips, D.D.S.

NPI #1700913894 in Provo, Utah

Provider Information

NPI Number
1700913894
Entity Type
Individual
Name
DR. Shane L. Phillips, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Feb 27, 2007
Last Updated
Apr 4, 2014

Practice Location

Address
1355 N UNIVERSITY AVE. 330
City
Provo
State
Utah
ZIP Code
84604
Phone
(801) 377-6453

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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