DR. Shirley Konstance Locke, D.D.S.
NPI #1053604041 in Lake Tapps, Washington
Provider Information
- NPI Number
- 1053604041
- Entity Type
- Individual
- Name
- DR. Shirley Konstance Locke, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- May 24, 2011
- Last Updated
- May 24, 2011
Practice Location
- Address
- 4429 185TH AVE E
- City
- Lake Tapps
- State
- Washington
- ZIP Code
- 98391-9112
- Phone
- (253) 862-1435
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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