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Contact Information

PHILIP J MIOLLIS, DDS
1430 16TH AVE
LONGVIEW, WA98632
 Phone: 360-425-2520
 Fax: 360-423-7970
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for PHILIP J MIOLLIS · (Male)

NPI Number 1174533236
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/09/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 3053
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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