NPI | 1508988585 |
---|---|
Doing Business As | PHELAN ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | RICHARD T PHELAN Owner 501-224-6535 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2007-04-03 |
Last Update Date | 2021-01-04 |