Lori Cackovic, BSDH, RDH

NPI #1649724246 in Golden, Colorado

Provider Information

NPI Number: 1649724246
Entity Type: Individual
Name: Lori Cackovic, BSDH, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: BSDH, RDH
Enumeration Date: Aug 11, 2016
Last Updated: Mar 22, 2017

Practice Location

Address: 1617 UTAH ST
City: Golden
State: Colorado
ZIP Code: 80401-2744
Phone: (630) 750-1429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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