Individual
CYNTHIA ANN PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2010 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87112-3306
(505) 237-2273
(505) 323-9294
Mailing address
2010 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87112-3306
(505) 237-2273
(505) 323-9294
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2711
NM
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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