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1306852868
KENNETH R PHILLIPS
WINSTON SALEM, NC
NPI
1306852868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 2292)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
Dr. KENNETH R PHILLIPS DDS
3165 MAPLEWOOD AVE
WINSTON SALEM, NC 27103-3919
Phone number: 336-760-9840
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Mailing Address
Dr. KENNETH R PHILLIPS DDS
3165 MAPLEWOOD AVE
WINSTON SALEM, NC 27103-3919
Phone number: 336-760-9840
Copy
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