Wayne L. Jurkovich, DDS

NPI #1700932704 in Wallace, Idaho

Provider Information

NPI Number: 1700932704
Entity Type: Individual
Name: Wayne L. Jurkovich, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 25, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 611 BANK ST
City: Wallace
State: Idaho
ZIP Code: 83873-2226
Phone: (208) 556-8171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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