Individual
DR. TYSON MAX JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4803 E RAY RD, P002C, PHOENIX, AZ 85044-6496
(480) 755-4455
Mailing address
4803 E RAY RD # P002C, PHOENIX, AZ 85044-6496
(480) 755-4455
(480) 893-7535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9783
AZ
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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