Individual
DR. JESSICA ETCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
640 E DEER SPRINGS WAY STE 180, NORTH LAS VEGAS, NV 89086-1514
(702) 399-3800
Mailing address
1213 MUSCATO CT, LAS VEGAS, NV 89144-1122
(707) 326-0690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6947
NV
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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