SHANE L. PHILLIPS

PROVO, UT
NPI1700913894
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  342924-9922)
Enumeration Date2007-02-27
Last Update Date2014-04-04
Business Address
Dr. SHANE L. PHILLIPS d.d.s.
1355 N UNIVERSITY AVE. 330
PROVO, UT 84604
Phone number: 801-377-6453
Mailing Address
Dr. SHANE L. PHILLIPS d.d.s.
1355 N UNIVERSITY AVE STE 330
PROVO, UT 84604-2721
Phone number: 801-377-6453
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