Individual
WILLIAM HARRISON JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1415 SOUTH MORRIS STREET, MEXICO, MO 65265-2238
(573) 581-0511
(573) 581-0511
Mailing address
1415 SOUTH MORRIS STREET, MEXICO, MO 65265-2238
(573) 581-0511
(573) 581-0511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12295
MO
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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