Organization
BETANCOURT, PINNIX, PHELPS, & GRIMES DMD PLLC
Active
Other names
Parkwood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER LATHAM PHELPS DMD (COPRESIDENT)
(704) 845-1107
Entity
Organization
Contact information
Practice address
400 PARKWOOD MEDICAL PARK, ELKIN, NC 28621-2485
(336) 835-5579
(336) 835-2639
Mailing address
400 PARKWOOD MEDICAL PARK, ELKIN, NC 28621-2485
(336) 835-5579
(336) 835-2639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7648
NC
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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