Individual
NATASHA BULLARD LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
420 HL LOCKLEAR RD, PEMBROKE, NC 28372-8444
(910) 374-4249
Mailing address
420 HL LOCKLEAR RD, PEMBROKE, NC 28372-8444
(910) 374-4249
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8656
NC
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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