| NPI | 1952488611 |
|---|---|
| Former Legal Business Name | VER BRUGGE AND PHILLIPS DDS LLC |
| Entity Type | Organization |
| Authorized Contact | BIVIN PHILLIPS Owner 410-879-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 10558) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-02-22 |