JAMES DERRICO, DDS, LLC
Dentist
Active
Individual
NPI: 1891801585
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 1509 (WY) |
Frequently Asked Questions
NPI 1891801585 is the National Provider Identifier for JAMES DERRICO, DDS, LLC, a Dentist provider located in Jackson, WY. This NPI was enumerated on August 22, 2006.
JAMES DERRICO, DDS, LLC practices at 1130 S HWY 89, Jackson, WY 83001.
Quick Facts
- NPI
- 1891801585
- Type
- Individual
- Enumerated
- Aug 22, 2006
- Last Updated
- May 7, 2023
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