Individual
CRISTINA LOELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
201 S 36TH ST, PHOENIX, AZ 85034-2808
(602) 434-8699
Mailing address
6301 E HUMMINGBIRD LN, PARADISE VALLEY, AZ 85253-3654
(954) 275-1866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010194
AZ
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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