Individual
DR. TYLER JAY PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1501 N ARIZONA BLVD, COOLIDGE, AZ 85128-3215
(520) 723-1700
Mailing address
848 E DUST DEVIL CIR, SAN TAN VALLEY, AZ 85143-6142
(480) 578-0380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PD0018
AZ
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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