Individual
JACQUELINE ELIZABETH LOESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4041 E SAN MIGUEL ST, COLORADO SPRINGS, CO 80909-3537
(719) 632-5700
(719) 344-7880
Mailing address
4041 E SAN MIGUEL ST, COLORADO SPRINGS, CO 80909-3537
(719) 632-5700
(719) 344-7880
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002023951
CO
Other
Enumeration date
12/22/2014
Last updated
01/02/2024
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