Individual
DR. CORBET CLARKE LOCKE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
307 CROSSROADS WEST, WACO, TX 76712
(254) 776-4888
(254) 776-4668
Mailing address
307 CROSSROADS WEST, WACO, TX 76712
(254) 776-4888
(254) 776-4668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14656
TX
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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