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Organization
REGENTS DENTAL GROUP
Active
Organization
REGENTS DENTAL GROUP
Active
Other names
Stephen Lockwood, DMD, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN EVERETT LOCKWOOD DMD (BUSINESS PARTNER/DENTIST)
(858) 587-9077
Entity
Organization
Contact information
Practice address
4150 REGENTS PARK ROW, SUITE 215, LA JOLLA, CA 92037
(858) 587-9077
(858) 587-4663
Mailing address
4150 REGENTS PARK ROW, SUITE 215, LA JOLLA, CA 92037
(858) 587-9077
(858) 587-4663
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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