Organization
RK JOLLEY DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD K JOLLEY DDS (CO-OWNER)
(435) 789-2888
Entity
Organization
Contact information
Practice address
40 W 100 N, VERNAL, UT 84078-2002
(435) 789-2888
(435) 789-7281
Mailing address
40 W 100 N, VERNAL, UT 84078-2002
(435) 789-2888
(435) 789-7281
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
137338
UT
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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