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Search › California › General Practice Dentistry

Justin Phillips, DDS

NPI 1184812091 · on the registry since 2007 · sole proprietor

Practice

Address
2655 Cleveland Ave Ste B
Santa Rosa, CA 95403
Phone
(707) 542-1026
Fax
(707) 542-1058
Organisation at this address
Advanced Vision Group, Inc.
Eos Eyecare Optometric Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California