Individual
LACIE ROSKOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18240 EAST 104TH AVENUE, SUITE 201, COMMERCE CITY, CO 80022-0660
(303) 928-7838
Mailing address
18240 EAST 104TH AVENUE, SUITE 201, COMMERCE CITY, CO 80022-0660
(303) 928-7838
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905352
CO
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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