Individual
JORDAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6525 N DECATUR BLVD STE 150, LAS VEGAS, NV 89131-2993
(702) 577-1941
Mailing address
10550 W ALEXANDER RD UNIT 2151, LAS VEGAS, NV 89129-3520
(702) 901-9918
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8122
NV
Other
Enumeration date
05/25/2023
Last updated
12/02/2024
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