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1669112116
PHYLLIS ANN IMMITTI
PHILADELPHIA, PA
NPI
1669112116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-31
Last Update Date
2022-03-31
Business Address
PHYLLIS ANN IMMITTI DMD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 718-887-6018
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Mailing Address
PHYLLIS ANN IMMITTI DMD
82 ROMER RD
STATEN ISLAND, NY 10304-1227
Phone number: 718-887-6018
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