Organization
THE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L JOLLY SR. DDS (PRESIDENT)
(501) 352-6580
Entity
Organization
Contact information
Practice address
505 W PERSHING BLVD, SUITE A, NORTH LITTLE ROCK, AR 72114-2147
(501) 758-9140
Mailing address
505 W PERSHING BLVD, SUITE A, NORTH LITTLE ROCK, AR 72114-2147
(501) 758-9140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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