Individual
DR. VIRGINIA VALENTINE LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
402 PINEGROVE DR, PINEVILLE, LA 71360-5726
(318) 448-3804
(318) 448-4880
Mailing address
402 PINEGROVE DR, PINEVILLE, LA 71360-5726
(318) 448-3804
(318) 448-4880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5576
LA
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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