| NPI | 1972958171 |
|---|---|
| Doing Business As | DOCTOR PHILLIPS MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MINH B PHAM Owner Dentist 407-205-0246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2022-08-25 |