Lacedric Tolliver, D.M.D
NPI 1972817948 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1501 Handley Dr
Fort Worth, TX 76112 - Phone
- (817) 457-4141
- Organisation at this address
- Western Dental
Elite Dental Group, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas