Susan Dahl Locke D.D.S.

NPI 1043211238 - Dentist - 1223G0001X

NPI Details
NPI 1043211238
Gender Female
Enumeration Date 08/10/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
6060 BROADWAY ST
SAN ANTONIO TX, 78209-4544, US
Phone (210) 828-9666
Fax (210) 828-3119
Business Location
6060 BROADWAY ST
SAN ANTONIO TX, 78209-4544, US
Phone (210) 828-9666
Fax (210) 828-3119
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 14089
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According to our database, Dr. Susan Dahl Locke D.D.S. NPI is 1043211238, taxonomy code is 1223G0001X and license number is 14089, license state is located at Texas. Susan Dahl Locke D.D.S. physically located at 6060 Broadway St, San Antonio TX, 78209-4544. NPI Number Susan Dahl Locke D.D.S. has the Individual type.

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1043211238 NPI number is provided on an as is basis without warranty of any kind. 1043211238 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Dahl Locke D.D.S. are for informational purposes only.