Individual
DR. JACK H URSIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10025 HG TRUEMAN RD, LUSBY, MD 20657-2861
(410) 326-4078
(410) 326-9311
Mailing address
10025 HG TRUEMAN RD, LUSBY, MD 20657-2861
(410) 326-4078
(410) 326-9311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7289
MD
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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