Individual
JACALYN R LODL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
660 BANNOCK ST, MC 1914, DENVER, CO 80204-4506
(303) 436-5106
(303) 436-5093
Mailing address
660 BANNOCK ST, MC 1914, DENVER, CO 80204-4506
(303) 436-5106
(303) 436-5093
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00003035
CO
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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