Organization
R K JOLLEY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD K JOLLEY DDS PC (CO PRESIDENTS)
(435) 789-2888
Entity
Organization
Contact information
Practice address
400 WEST 100 NORTH, VERNAL, UT 84078
(435) 789-2888
Mailing address
400 WEST 100 NORTH, VERNAL, UT 84078
(435) 789-2888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1373389922
UT
1223G0001X
General Practice Dentistry
1393669922
UT
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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