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Organization

LCD PRACTICE, PLLC

Active
Other names
Kate Dobens, Trace Riley
Organization subpart
No

Provider details

NPI number
Authorized official
KELLEY EASTER (OFFICE MANAGER)
(817) 236-8771
Entity
Organization

Contact information

Practice address
8461 BOAT CLUB RD, FORT WORTH, TX 76179-3607
(817) 236-8771
(817) 236-8771
Mailing address
8461 BOAT CLUB RD, FORT WORTH, TX 76179-3607
(817) 236-8771
(817) 236-8771

Taxonomy

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

Other

Enumeration date
01/08/2026
Last updated
01/09/2026
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