Most Relevant Information
Provider Data
| NPI Number: | 1003490897 |
| Provider Name: | GAIL KATHLEEN PHELPS DENTAL HYGIENIST |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | H006901 |
Most Important Dates
| Enumeration Date: | 05/08/2021 |
| Last Updated: | 05/08/2021 |
Provider Practice Location
322 S MAIN ST STE C
COTTONWOOD
AZ
863263693
Practice Location Phone/Fax
| Phone: | 9286349366 |
| Fax: |
Provider Mailing Location
PO BOX 1541
CAMP VERDE
AZ
863221541
Provider Mailing Phone/Fax
| Phone: | 9282257907 |
| Fax: |