Individual
MR. STANLEY W FITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 W MAGNOLIA AVE, SUITE 102, FORT WORTH, TX 76104-7644
(817) 665-1323
(817) 871-9074
Mailing address
200 W MAGNOLIA AVE, SUITE 102, FORT WORTH, TX 76104-7644
(817) 665-1323
(817) 871-9074
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
0013611
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013611
DDS LICENSE
TX
Enumeration date
07/03/2006
Last updated
07/08/2007
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