Shirley Konstance Locke D.D.S.

NPI 1053604041 - Dentist - 1223G0001X

NPI Details
NPI 1053604041
Gender Female
Enumeration Date 05/24/2011
Last Updated 05/24/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
4429 185TH AVE E
LAKE TAPPS WA, 98391-9112, US
Phone (253) 862-1435
Fax
Business Location
4429 185TH AVE E
LAKE TAPPS WA, 98391-9112, US
Phone (253) 862-1435
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Washington
License Number DE 6049
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According to our database, Dr. Shirley Konstance Locke D.D.S. NPI is 1053604041, taxonomy code is 1223G0001X and license number is DE 6049, license state is located at Washington. Shirley Konstance Locke D.D.S. physically located at 4429 185th Ave E, Lake Tapps WA, 98391-9112. NPI Number Shirley Konstance Locke D.D.S. has the Individual type.

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1053604041 NPI number is provided on an as is basis without warranty of any kind. 1053604041 is maintained by the National Plan & Provider Enumeration System. The contents of Shirley Konstance Locke D.D.S. are for informational purposes only.