JAMES L. DERRICO DDS LLC is a customized equipment durable medical equipment medical supplies in Jackson, WY. JAMES L. DERRICO DDS LLC NPI is 1235700014. The provider is registered as an organization entity type.
The provider's business location address is:
1130 S HWY 89
JACKSON, WY
ZIP 83001-512
Phone: (307) 200-6644
The provider's authorized official is James L Derrico .
The authorized official title is Owner and has the following contact phone number (630) 399-7367.
The enumeration date for this NPI number is 7/2/2021 and was last updated on 8/3/2023.