Organization
PETER M. JURKASH, D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER M JURKASH DDS (PRESIDENT)
(708) 596-9400
Entity
Organization
Contact information
Practice address
15475 S PARK AVE, SUITE 101, SOUTH HOLLAND, IL 60473-1328
(708) 596-9400
Mailing address
PO BOX 07218, FORT MYERS, FL 33919-0218
(708) 596-9400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019017211
IL
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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