Individual
GAIL KATHLEEN PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
322 S MAIN ST STE C, COTTONWOOD, AZ 86326-3693
(928) 634-9366
Mailing address
PO BOX 1541, CAMP VERDE, AZ 86322-1541
(928) 225-7907
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H006901
AZ
Other
Enumeration date
05/08/2021
Last updated
05/08/2021
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