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Individual

DR. TATHIANA ROJAS LOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2436 S ACADEMY BLVD, COLORADO SPRINGS, CO 80916-2408
(719) 391-2336
(719) 391-1625
Mailing address
2221 E BIJOU ST, STE. 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 855-3470

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
203842
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881158368
CO
Enumeration date
01/29/2019
Last updated
06/28/2019
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