Lorielle M Jack
Lorielle M Jack is a Dental Hygienist in Durango, Colorado. Licensed in Colorado. Registered with an NPI since 2015.
- Licensed in
- CO
- In the registry since
- 2015
Practice location Address checks out
2530 Colorado Ave Unit 1ADurango, CO 81301-4761
Phone: (970) 335-2442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Hygienist (primary) | Taxonomy 124Q00000X · Licence DH002024003 (CO) |
|---|
Record details
| NPI number | 1235594169 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 18, 2015 |
| Last updated in NPPES | January 2, 2020 |
| Certification date | January 2, 2020 |
| Mailing address | 185 Suttle St, Durango, CO 81303-8276 |
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