Individual
MR. STEPHEN MATTHEW PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
205 WALESKA ROAD SUITE 2-A, CANTON, GA 30114
(770) 479-3713
(770) 479-4031
Mailing address
205 WALESKA ROAD SUITE 2-A, CANTON, GA 30114
(770) 479-3713
(770) 479-4031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011713
GA
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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