Individual
DR. JACLYN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
45 E SILVERADO RANCH BLVD STE 100, LAS VEGAS, NV 89183-3480
(702) 425-6810
Mailing address
45 E SILVERADO RANCH BLVD STE 100, LAS VEGAS, NV 89183-3480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7386
NV
Other
Enumeration date
07/14/2020
Last updated
09/02/2020
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