David Gordon Lockwood | San Diego, CA • PECOS Search

David Gordon Lockwood

Dentist

Dental Providers

3737 Moraga Ave Ste B414, San Diego, CA 92117-5362

PECOS Enrollment

Based on the most recent information from CMS, provider David Gordon Lockwood does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1235574468
Provider Type
Individual
Full Name
Lockwood, David Gordon
Title
Dr.
Credential
D.D.S.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/1/2013
Last Updated
5/1/2013

Contact Information

Practice Location

3737 Moraga Ave Ste B414, San Diego, CA 92117-5362

Unlisted Fax

Mailing Location

3737 Moraga Ave Ste B414, San Diego, CA 92117-5362

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 29964 California