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Organization

M DENTAL GRANBURY, PLLC

Active
Other names
Granbury Park Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE CHARLES MERCER JR. DDS (OWNER)
(817) 275-4817
Entity
Organization

Contact information

Practice address
500 W PEARL ST, GRANBURY, TX 76048-2044
(817) 275-4817
Mailing address
725 N FIELDER RD, ARLINGTON, TX 76012-4636
(817) 275-4817

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
02/11/2019
Last updated
02/11/2019
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