Bivin Phillips DDS

NPI 1023204419 - Dentist - 122300000X

NPI Details
NPI 1023204419
Gender Male
Enumeration Date 09/19/2007
Last Updated 01/12/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1201 AGORA DR
SUITE 2B
BEL AIR MD, 21014-6859, US
Phone (410) 879-4363
Fax
Business Location
1201 AGORA DR
SUITE 2B
BEL AIR MD, 21014-6859, US
Phone (410) 879-4363
Fax
Toxanomy
Taxonomy Code 122300000X
License State Maryland
License Number 12412
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According to our database, Bivin Phillips DDS NPI is 1023204419, taxonomy code is 122300000X and license number is 12412, license state is located at Maryland. Bivin Phillips DDS physically located at 1201 Agora Dr, Bel Air MD, 21014-6859. NPI Number Bivin Phillips DDS has the Individual type.

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1023204419 NPI number is provided on an as is basis without warranty of any kind. 1023204419 is maintained by the National Plan & Provider Enumeration System. The contents of Bivin Phillips DDS are for informational purposes only.