CHARLES W PHILLIPS

KODIAK, AK
NPI1912091935
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AK  1169)
Enumeration Date2006-10-03
Last Update Date2007-07-09
Business Address
-- CHARLES W PHILLIPS DD
3449 E REZANOF DR
KODIAK, AK 99615-6952
Phone number: 907-486-9800
Mailing Address
-- CHARLES W PHILLIPS DD
3449 E REZANOF DR
KODIAK, AK 99615-6952
Phone number: 907-486-9800