# JOLLY CAPLASH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669701314
- **Authorized official:** JOLLY N CAPLASH (ORAL SURGEON)
- **Authorized official phone:** (585) 414-6463

## Contact information

- **Practice address:** 5 HARVEST GLN, PITTSFORD, NY 14534-2769
- **Practice address phone:** (585) 414-6463
- **Mailing address:** 5 HARVEST GLN, PITTSFORD, NY 14534-2769
- **Mailing address phone:** (585) 414-6463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 048025 | NY | Yes |

## Other

- **Enumeration date:** 12/09/2009
- **Last updated:** 12/09/2009
