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Philip Raphael Contreras, DDS Valid NPI

Individual provider · Dentist · Lakeland, FL

NPI
1508950510
Type
Individual (Type 1)
Primary specialty
Dentist
Specialty group
Dental Providers
Taxonomy code
122300000X
License number
DN14550 (FL)
Sex
Male
Sole proprietor
Yes
Enumerated
2006-10-03
Last updated
2007-07-08
Practice location
1251 Ariana St.
Lakeland, FL 33803
(863) 688-9884

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