Organization
DR. WADE PHELPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE PHELPS (OWNER)
(830) 583-9891
Entity
Organization
Contact information
Practice address
330 W LIVEOAK ST, KENEDY, TX 78119-2326
(830) 583-9891
Mailing address
330 W LIVEOAK ST, KENEDY, TX 78119-2326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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