Charles W Phillips, DD

NPI #1912091935 in Kodiak, Alaska

Provider Information

NPI Number
1912091935
Entity Type
Individual
Name
Charles W Phillips, DD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DD
Enumeration Date
Oct 3, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
3449 E REZANOF DR
City
Kodiak
State
Alaska
ZIP Code
99615-6952
Phone
(907) 486-9800

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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