Individual
DR. LARRY P TADLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
601 S MAIN ST, SUITE 240, KELLER, TX 76248-7029
(817) 485-4996
(817) 741-8421
Mailing address
601 S MAIN ST, SUITE 240, KELLER, TX 76248-7029
(817) 485-4996
(817) 741-8421
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14254
TX
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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