Organization
JOLLY DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOLLY (DENTIST)
(501) 758-7462
Entity
Organization
Contact information
Practice address
4601 FAIRWAY AVE, NORTH LITTLE ROCK, AR 72116-8052
(501) 758-7462
(501) 758-1696
Mailing address
4601 FAIRWAY AVE, NORTH LITTLE ROCK, AR 72116-8052
(501) 758-7462
(501) 758-1696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/01/2006
Last updated
06/25/2008
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