Individual
DARYL LEON LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
691 SEDGWICK WAY, TROY, OH 45373-5421
(937) 417-5763
Mailing address
691 SEDGWICK WAY, TROY, OH 45373-5421
(937) 417-5763
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12006618A
IN
122300000X
Dentist
Primary
30013529
OH
Other
Enumeration date
03/06/2007
Last updated
12/09/2020
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