Stephen Lockwood Dmd INC

NPI #1316349871 in La Jolla, California

Provider Information

NPI Number: 1316349871
Entity Type: Organization
Organization Name: Stephen Lockwood Dmd INC
Primary Specialty: Dentist
Enumeration Date: Sep 16, 2014
Last Updated: Sep 16, 2014

Practice Location

Address: 4150 REGENTS PARK ROW
Address 2: SUITE 230
City: La Jolla
State: California
ZIP Code: 92037-9124
Phone: (858) 558-3050

Authorized Official

Name: DR. STEPHEN EVERETT LOCKWOOD, D.M.D., M.A.G.D.
Title: GENERAL DENTIST
Phone: (858) 558-3050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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