NPI | 1063950467 |
---|---|
Doing Business As | JOLLEYTIME ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | DAVID JOLLEY Orthodontist / Owner 702-875-3212 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 31849) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2017-02-06 |