Individual
DR. SHIRLEY KONSTANCE LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4429 185TH AVE E, LAKE TAPPS, WA 98391-9112
(253) 862-1435
Mailing address
4429 185TH AVE E, LAKE TAPPS, WA 98391-9112
(253) 862-1435
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 6049
WA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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