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Individual

DR. VERNESHA D LOCKHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1011 E ENNIS AVE STE A-1, ENNIS, TX 75119-4351
(469) 212-1707
Mailing address
2241 GLACIER DR, WAXAHACHIE, TX 75165-9593
(972) 979-8034

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
27243
TX
1223G0001X
General Practice Dentistry
LL599
MD
1223P0221X
Pediatric Dentistry
Primary
27243
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119591300
MD
Enumeration date
08/24/2010
Last updated
03/21/2024
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