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Individual
DR. R. THEODORE FIELDS JR.
Active
Individual
DR. R. THEODORE FIELDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
16961
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16961
TX
Other
Enumeration date
04/16/2007
Last updated
01/04/2021
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