| NPI | 1487152070 | 
|---|---|
| Doing Business As | FIELDS FAMILY DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | TREVOR JASEN MCGERR Member / Owner 402-890-2821  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS040355)  | 
| Enumeration Date | 2018-01-29 | 
| Last Update Date | 2018-01-29 |