Individual
DR. LOREN W JOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
358 MARINE PKWY, REDWOOD CITY, CA 94065-1010
(650) 593-1160
Mailing address
115 BELGRAVE AVE, SAN FRANCISCO, CA 94117-4227
(415) 504-7098
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
51480
CA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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