| NPI | 1124590674 |
|---|---|
| Doing Business As | FIELDER PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHIP MERCER Owner 817-275-4817 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |