Jacqueline Nichole Sanders, DDS
NPI #1750015780 in Fircrest, Washington
Provider Information
- NPI Number
- 1750015780
- Entity Type
- Individual
- Name
- Jacqueline Nichole Sanders, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 14, 2022
- Last Updated
- Jul 26, 2023
Practice Location
- Address
- 412 BOWES DR
- City
- Fircrest
- State
- Washington
- ZIP Code
- 98466-7057
- Phone
- (219) 256-2472
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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