Organization
PHELPS DENTAL CORPORATION
Active
Other names
Nor Cal Airway
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC PHELPS DDS, MS (DR.)
(408) 828-1756
Entity
Organization
Contact information
Practice address
2075 FOREST AVE STE 6, SAN JOSE, CA 95128-4812
(408) 828-1756
Mailing address
2075 FOREST AVE STE 6, SAN JOSE, CA 95128-4812
(408) 828-1756
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
48763
CA
Other
Enumeration date
08/31/2018
Last updated
05/19/2020
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