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1366458960
LARRY GORDON PHILLIPS
LOUISVILLE, KY
NPI
1366458960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: KY 4510)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
-- LARRY GORDON PHILLIPS D.M.D.
4514 OUTER LOOP
LOUISVILLE, KY 40219-3857
Phone number: 502-969-9264
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Mailing Address
-- LARRY GORDON PHILLIPS D.M.D.
4514 OUTER LOOP
LOUISVILLE, KY 40219-3857
Phone number: 502-969-9264
Copy
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