William Harrison Jolly, DDS

NPI #1043430176 in Mexico, Missouri

Provider Information

NPI Number: 1043430176
Entity Type: Individual
Name: William Harrison Jolly, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1415 SOUTH MORRIS STREET
City: Mexico
State: Missouri
ZIP Code: 65265-2238
Phone: (573) 581-0511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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