Individual
DR. PATRICIA SUE CRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
820 S 7TH ST, LAS VEGAS, NV 89101-6938
(702) 678-1835
Mailing address
3021 BRIGHTON CREEK CT, LAS VEGAS, NV 89135-1715
(702) 363-9738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2095
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202600
—
NV
Enumeration date
02/21/2007
Last updated
07/08/2007
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