DR. JACQUELYN RICHARDSON, DDS

Dentist

Active Individual
NPI: 1780853366

Practice Address

609 35TH AVE STE 3
Moline, IL 61265

Phone: (309) 762-3015

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 019-026572 (IL)

Frequently Asked Questions

NPI 1780853366 is the National Provider Identifier for DR. JACQUELYN RICHARDSON, DDS, a Dentist provider located in Moline, IL. This NPI was enumerated on February 27, 2008.
DR. JACQUELYN RICHARDSON, DDS practices at 609 35TH AVE STE 3, Moline, IL 61265.

Quick Facts

NPI
1780853366
Type
Individual
Enumerated
Feb 27, 2008
Last Updated
Aug 20, 2014

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