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Organization

DR. DIANNE WHITFIELD-LOCKE

Active
Parent organization
DR. DIANNE WHITIFIELD-LOCKE
Organization subpart
Yes

Provider details

NPI number
Legal business name
DR. DIANNE WHITIFIELD-LOCKE
Authorized official
DIANNE WHITIFIELD-LOCKE (D.D.S.)
(301) 420-1464
Entity
Organization

Contact information

Practice address
5105 MARLBORO PIKE, CAPITOL HEIGHTS, MD 20743-5402
(301) 420-1464
(301) 420-8338
Mailing address
5105 MARLBORO PIKE, CAPITOL HEIGHTS, MD 20743-5402
(301) 420-1464
(301) 420-8338

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
MD9229
MD
1223P0221X
Pediatric Dentistry
Primary
4518
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016747900
DC
01
1417063363
INDIVIDUAL NPI
MD
Enumeration date
02/15/2007
Last updated
12/17/2007
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