| NPI | 1720642150 |
|---|---|
| Doing Business As | PHILLIPS ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CARSON RILEY PHILLIPS President 432-203-6905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-05-01 |