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1043211238
SUSAN DAHL LOCKE
SAN ANTONIO, TX
NPI
1043211238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 14089)
Enumeration Date
2005-08-10
Last Update Date
2007-07-08
Business Address
Dr. SUSAN DAHL LOCKE D.D.S.
6060 BROADWAY ST
SAN ANTONIO, TX 78209-4544
Phone number: 210-828-9666
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Mailing Address
Dr. SUSAN DAHL LOCKE D.D.S.
6060 BROADWAY ST
SAN ANTONIO, TX 78209-4544
Phone number: 210-828-9666
Copy
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