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1144393034
PHELAN RICO THOMAS
WEST DES MOINES, IA
NPI
1144393034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IA 07198)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
Dr. PHELAN RICO THOMAS DDS
4100 UNIVERSITY AVE SUITE 105
WEST DES MOINES, IA 50266-5956
Phone number: 515-223-8800
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Mailing Address
Dr. PHELAN RICO THOMAS DDS
4100 UNIVERSITY AVE STE 105
WEST DES MOINES, IA 50266-5958
Phone number: 515-223-8800
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