Individual
DR. JASON ADAM JURCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29 BLACK COAL DRIVE, FORT WASHAKIE, WY 82514
(307) 332-7300
Mailing address
975 BLACK BLVD, LANDER, WY 82520-2606
(307) 701-4501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1638
WY
1223G0001X
General Practice Dentistry
D-5419
ID
Other
Enumeration date
06/08/2022
Last updated
08/27/2024
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