Individual
DR. CARL EDWARD JURGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
334 W MAIN, DECATUR, IL 62522
(217) 428-4683
(217) 428-4738
Mailing address
334 W MAIN, DECATUR, IL 62522
(217) 428-4683
(217) 428-4738
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Enumeration date
10/24/2006
Last updated
10/24/2007
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