institution
James L. Derrico Dds Llc
Customized Equipment (DME) in Jackson, Wyoming
NPI 1235700014

James L. Derrico Dds Llc is a Customized Equipment (DME) based in Jackson, WY and is specialized in Customized Equipment. James L. Derrico Dds Llc practices in Jackson, WY. The NPI Number for James L. Derrico Dds Llc is 1235700014 and holds a License No. (Wyoming).

The current practice location address for James L. Derrico Dds Llc is 1130 S Hwy 89, Jackson, WY and can be reached out via phone at 307-200-6644. You can also correspond with James L. Derrico Dds Llc through the mailing address at PO BOX 806, JACKSON, WY - 83001-0806 (mailing address contact number: 630-399-7367).

Location: 1130 S Hwy 89, Jackson, WY, 83001-0806
institution
Provider Profile Details
NPI Number
1235700014
Provider Name
James L. Derrico Dds Llc
Credential
Provider Entity Type
Organization
Address
1130 S Hwy 89, Jackson, WY, 83001-0806
Phone Number
307-200-6644
Fax Number
Provider Enumeration Date
07/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1130 S Hwy 89
City
State
Zip
83001-8512
Phone Number
307-200-6644
Fax Number
person
Provider Business Mailing Address Details
Address
1130 S Hwy 89
City
State
Zip
83001-8512
Phone Number
307-200-6644
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
()
Definition
Definition to come...
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