Individual
DR. JENNA MARIE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
760 EAST AVE BLDG 3911, PENSACOLA, FL 32508-5136
(850) 452-8970
Mailing address
4718 ORLANDO CT, INDIANAPOLIS, IN 46228-2907
(317) 418-1503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011841A
IN
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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