Organization
REGENTS DENTAL GROUP
Active
Other names
Stephen Lockwood, DMD, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN EVERETT LOCKWOOD DMD (BUSINESS PARTNER/DENTIST)
(858) 587-9077
Entity
Organization
Contact information
Practice address
4150 REGENTS PARK ROW, SUITE 215, LA JOLLA, CA 92037
(858) 587-9077
(858) 587-4663
Mailing address
4150 REGENTS PARK ROW, SUITE 215, LA JOLLA, CA 92037
(858) 587-9077
(858) 587-4663
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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