James L Derrico DDS

NPI #1144604224 in Lisle, Illinois

Provider Information

NPI Number: 1144604224
Entity Type: Organization
Organization Name: James L Derrico DDS
Primary Specialty: Dentist
Enumeration Date: Jul 17, 2015
Last Updated: Jul 17, 2015

Practice Location

Address: 6448 COLLEGE RD
City: Lisle
State: Illinois
ZIP Code: 60532-3290
Phone: (630) 983-8700

Authorized Official

Name: JAMES L. DERRICO, DDS
Title: OWNER
Phone: (630) 983-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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