Lee Charles Mercer, Jr
Dentist in Arlington, TX. Organization (NPI-2).
NPI number1760813232
StatusActive
Last updated in NPPESDec 9, 2013
Details
- NPI
- 1760813232
- Entity type
- Organization (NPI-2)
- Legal business name
- Lee Charles Mercer, Jr
- Organization subpart
- No
- Enumeration date
- Dec 9, 2013
- Last updated
- Dec 9, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 20975 | TX | Yes |
| 122300000X | Dentist | 9945 | TX | |
| 122300000X | Dentist | 29082 | TX |
Other names
- Fielder Park Dental (Doing Business As)
Practice location
725 N Fielder RdArlington, TX 76012-4698
Phone 817-275-4817 · Fax 817-275-1765
Mailing address
725 N Fielder RdArlington, TX 76012-4698
Phone 817-275-4817 · Fax 817-275-1765
Authorized official
Lee Charles Mercer
Owner
8172754817
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