Individual
DR. DANIEL PATRICK JURGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2 N COUNTRY CLUB RD STE 2, DECATUR, IL 62521-4174
(217) 422-7448
Mailing address
2 N COUNTRY CLUB RD STE 2, DECATUR, IL 62521-4174
(217) 422-7448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032716
IL
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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