| NPI | 1760813232 |
|---|---|
| Doing Business As | FIELDER PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | LEE CHARLES MERCER Owner 817-275-4817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 20975) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 9945) |
| 122300000X Dentist (Licence: TX 29082) | |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |