Jacqueline J Lody, RDH
Dental Hygienist in Warren, OH. Individual provider (NPI-1).
NPI number1992564280
StatusActive
Last updated in NPPESMar 18, 2024
Details
- NPI
- 1992564280
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline J Lody
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2024
- Certification date
- Mar 16, 2024
- Last updated
- Mar 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 31.007364 | OH | Yes |
Practice location
Lafuria Dental8501 E. Market St.
Warren, OH 44484
Phone 330-856-4214
Mailing address
Lafuria Dental8501 E. Market St.
Warren, OH 44484
Phone 330-856-4214
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