DR. Jacquelyn L Richardson, DDS

NPI #1780853366 in Moline, Illinois

Provider Information

NPI Number
1780853366
Entity Type
Individual
Name
DR. Jacquelyn L Richardson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Feb 27, 2008
Last Updated
Aug 20, 2014

Practice Location

Address
609 35TH AVE STE 3
City
Moline
ZIP Code
61265-6146
Phone
(309) 762-3015

Specialties & Taxonomy Codes

Specialty
Dentist

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