Individual
DR. LARRY WILSON SPRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
4224 HERITAGE TRACE PKWY STE 304, FORT WORTH, TX 76244-5379
(817) 741-2200
(817) 741-2216
Mailing address
4224 HERITAGE TRACE PKWY STE 304, FORT WORTH, TX 76244-5379
(817) 741-2200
(817) 741-2216
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9829
TX
Other
Enumeration date
08/23/2005
Last updated
02/18/2011
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