James L. Derrico DDS LLC
NPI #1235700014 in Jackson, Wyoming
Provider Information
- NPI Number
- 1235700014
- Entity Type
- Organization
- Organization Name
- James L. Derrico DDS LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Jul 2, 2021
- Last Updated
- Aug 3, 2023
Practice Location
Authorized Official
- Name
- DR. JAMES L DERRICO, DDS
- Title
- OWNER
- Phone
- (630) 399-7367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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