Individual
THOMAS LOSACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
801 6TH ST, GEORGETOWN, CO 80444-1022
(303) 569-3141
(303) 569-3041
Mailing address
PO BOX 1022, GEORGETOWN, CO 80444-1022
(303) 569-3141
(303) 569-3041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105584
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02055846
—
CO
Enumeration date
01/25/2007
Last updated
07/23/2007
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