NPI | 1700514551 |
---|---|
Doing Business As | DARRYL LOCKLEAR II DDS PA |
Entity Type | Organization |
Authorized Contact | DARRYL LOCKLEAR Dentist 910-734-0871 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-08-10 |
Last Update Date | 2022-08-10 |