Organization
CHANDLER MODERN DENTISTRY AND ORTHODONTICS, LLP
Active
Other names
Chandler Modern Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYSON M JOLLEY DMD (OWNER)
(480) 792-1543
Entity
Organization
Contact information
Practice address
2875 W RAY RD STE 16, CHANDLER, AZ 85224-3619
(480) 792-1543
(480) 792-1544
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(714) 845-8803
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/14/2013
Last updated
04/13/2022
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