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1184812091
JUSTIN D. PHILLIPS
SANTA ROSA, CA
NPI
1184812091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 43845)
Enumeration Date
2007-10-05
Last Update Date
2007-10-05
Business Address
-- JUSTIN D. PHILLIPS DDS
2655 CLEVELAND AVE STE B
SANTA ROSA, CA 95403-2779
Phone number: 707-542-1026
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Mailing Address
-- JUSTIN D. PHILLIPS DDS
2655 CLEVELAND AVE STE B
SANTA ROSA, CA 95403-2779
Phone number: 707-542-1026
Copy
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