William Harrison Jolly DDS

NPI 1043430176 - Dentist - 122300000X

NPI Details
NPI 1043430176
Gender Male
Enumeration Date 04/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1415 SOUTH MORRIS STREET
MEXICO MO, 65265-2238, US
Phone (573) 581-0511
Fax (573) 581-0511
Business Location
1415 SOUTH MORRIS STREET
MEXICO MO, 65265-2238, US
Phone (573) 581-0511
Fax (573) 581-0511
Toxanomy
Taxonomy Code 122300000X
License State Missouri
License Number 12295
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According to our database, William Harrison Jolly DDS NPI is 1043430176, taxonomy code is 122300000X and license number is 12295, license state is located at Missouri. William Harrison Jolly DDS physically located at 1415 South Morris Street, Mexico MO, 65265-2238. NPI Number William Harrison Jolly DDS has the Individual type.

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1043430176 NPI number is provided on an as is basis without warranty of any kind. 1043430176 is maintained by the National Plan & Provider Enumeration System. The contents of William Harrison Jolly DDS are for informational purposes only.