NPI | 1306055504 |
---|---|
Doing Business As | PHELPS FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | LANNAE LYNN PHELPS President 308-534-4040 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NE 6557) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2012-08-08 |