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1063638310
KEITH MARTIN PHILLIPS
TACOMA, WA
NPI
1063638310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: WA 602396104)
Enumeration Date
2007-04-17
Last Update Date
2015-11-19
Business Address
Dr. KEITH MARTIN PHILLIPS D.M.D., M.S.D.
5619 VALLEY AVE E
TACOMA, WA 98424-2060
Phone number: 253-922-5519
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Mailing Address
Dr. KEITH MARTIN PHILLIPS D.M.D., M.S.D.
5619 VALLEY AVE E
TACOMA, WA 98424-2060
Phone number: 253-922-5519
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