Jonathan Tyler Locke
Jonathan Tyler Locke is a Student in an Organized Health Care Education/Training Program in Brooklyn, New York. Works from 3 locations. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
Brooklyn, NYNo coordinates on file. Search this address in Google Maps
Additional practice locations (2)
- 111 E 210th St, Bronx, NY 10467-2401 — (718) 920-6039
- 111 E 210th St, Bronx, NY 10467-2401 — (718) 920-6039
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 060769 (NY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1538668215 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 7, 2018 |
| Last updated in NPPES | September 17, 2019 |
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