Individual
JACQUELINE RAE BLASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2725 S COLORADO BLVD, DENVER, CO 80222-6601
(303) 781-1810
(720) 647-0115
Mailing address
2725 S COLORADO BLVD, DENVER, CO 80222-6601
(303) 781-1810
(720) 647-0115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8826
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54877822
—
CO
Enumeration date
09/09/2006
Last updated
02/20/2020
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