| NPI | 1285362715 |
|---|---|
| Doing Business As | JOLLEY SMILES |
| Entity Type | Organization |
| Authorized Contact | TONJA CRONKHITE Insurance Coordinator 970-523-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-11 |