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1912091935
CHARLES W PHILLIPS
KODIAK, AK
NPI
1912091935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AK 1169)
Enumeration Date
2006-10-03
Last Update Date
2007-07-09
Business Address
-- CHARLES W PHILLIPS DD
3449 E REZANOF DR
KODIAK, AK 99615-6952
Phone number: 907-486-9800
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Mailing Address
-- CHARLES W PHILLIPS DD
3449 E REZANOF DR
KODIAK, AK 99615-6952
Phone number: 907-486-9800
Copy
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