GLENN E. LOCKWOOD,DDS,PC
Dentist at Marine Ave, Kenai, AK

License number
Alaska 925
Category
Ambulatory Health
Type
Dental
Owner
Name: DR. GLENN E. LOCKWOOD D.D.S.
Title: PRESIDENT
Phone: (907) 283-4875
Address
Address
605 Marine Ave, Kenai, AK 99611
National Provider ID: 1245456326
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GLENN E. LOCKWOOD, DDS, PC

605 Marine Ave, Kenai, AK 99611

Industry:
Dentist's Office
Doing business as:
Glenn E Lockwood DDS PC<br>Kenai Dental Clinic
Registration:
Aug 9, 2000
State ID:
70881D
Business type:
Professional Corporation
Expiration:
Perpetual
Family And General Dentistry, Medical Doctors:
Jess T Ellis (Director, President, Shareholder, Secretary, Treasurer),Glenn E. Lockwood (Family And General Dentistry, Manager, President),John Reynoldson Manager, inactive,...
Agent:
Saray C Lockwood,605 Marine Ave, Kenai, AK 99611 (Mailing)

Dentist licenses in Alaska