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1437353638
MICHAEL KEVIN PHELAN
BUFORD, GA
NPI
1437353638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: GA 010418)
Enumeration Date
2007-06-12
Last Update Date
2020-01-10
Business Address
DR. MICHAEL KEVIN PHELAN DMD
4330 S LEE ST BLDG 500
BUFORD, GA 30518-3072
Phone number: 770-271-0833
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Mailing Address
DR. MICHAEL KEVIN PHELAN DMD
4330 S LEE ST BLDG 500
BUFORD, GA 30518-3072
Phone number: 770-271-0833
Copy
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