Individual
ANU JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
303 E 33RD ST, 6J, NEW YORK, NY 10016-7607
(561) 512-5768
Mailing address
96-21 68TH AVE, FOREST HILLS, NY 11375
(561) 512-5768
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059149
NY
Other
Enumeration date
07/21/2015
Last updated
01/29/2018
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