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Organization
STEPHEN LOCKWOOD DMD INC
Active
Organization
STEPHEN LOCKWOOD DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN EVERETT LOCKWOOD D.M.D., M.A.G.D. (GENERAL DENTIST)
(858) 558-3050
Entity
Organization
Contact information
Practice address
4150 REGENTS PARK ROW, SUITE 230, LA JOLLA, CA 92037-9124
(858) 558-3050
(858) 558-3053
Mailing address
4150 REGENTS PARK ROW, SUITE 230, LA JOLLA, CA 92037-1414
(858) 558-3050
(858) 558-3053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
033120
CA
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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