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 |