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Individual

DR. SHEILA M PHELAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
880 COMMERCE DR, PERRYSBURG, OH 43551-5641
(419) 874-1719
Mailing address
219 DENTAL SCIENCE BLDG S, IOWA CITY, IA 52242-1001
(319) 335-7287

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30.025074
OH
390200000X
Student in an Organized Health Care Education/Training Program
30443
IA

Other

Enumeration date
04/06/2015
Last updated
01/02/2019
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