Individual
DR. RICHARD E PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1112 MILITARY RD, BENTON, AR 72015-2909
(501) 778-7129
Mailing address
1112 MILITARY RD, BENTON, AR 72015-2909
(501) 778-7129
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2318
AR
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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