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Individual

DR. JOHN T LOCKARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
3200 SOUTH ELM PLACE, SUITE 110, BROKEN ARROW, OK 74012-7908
(918) 455-0976
(918) 455-0576
Mailing address
3200 SOUTH ELM PLACE, SUITE 110, BROKEN ARROW, OK 74012-7908
(918) 455-0976
(918) 455-0576

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3761
OK

Other

Enumeration date
09/07/2006
Last updated
07/08/2007
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