PHILLIP STANLEY FRIST

ANDERSON, IN
NPI1134138423
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12007236A)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
Dr. PHILLIP STANLEY FRIST DDS
714 WALNUT ST
ANDERSON, IN 46012-3450
Phone number: 765-649-0611
Mailing Address
Dr. PHILLIP STANLEY FRIST DDS
714 WALNUT ST
ANDERSON, IN 46012-3450
Phone number: 765-649-0611
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