Individual
DR. ERIC PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2075 FOREST AVENUE, SUITE 2, SAN JOSE, CA 95128
(408) 298-3433
(408) 298-3433
Mailing address
2075 FOREST AVENUE, SUITE 2, SAN JOSE, CA 95128
(408) 298-3433
(408) 298-3433
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
48763
CA
Other
Enumeration date
02/02/2007
Last updated
12/11/2013
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