JAMES L DERRICO DDS, LLC
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1891801585- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS, LLC
- Status
- Active
Contact & Location
- Address
- 1130 S HWY 89, JACKSON, WY, 830018512
- Phone
- (307) 200-6644
Specialties & Taxonomies
Dentist
Primary License: WY #1509