Individual
JEENA MARY JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
102 SLEEPY HOLLOW DR, SUITE 100, MIDDLETOWN, DE 19709-5841
(302) 378-3384
(302) 338-8008
Mailing address
102 SLEEPY HOLLOW DR, SUITE 100, MIDDLETOWN, DE 19709-5841
(302) 378-3384
(302) 338-8008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G1-0001035
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000979508
—
DE
Enumeration date
09/16/2006
Last updated
09/13/2010
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