ELLIOTT JOLLEY

VERNAL, UT
NPI1699039644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: UT  8079919-9922)
Enumeration Date2012-06-25
Last Update Date2012-06-25
Business Address
-- ELLIOTT JOLLEY
582 N 1700 W
VERNAL, UT 84078-8200
Phone number: 435-781-1234
Mailing Address
-- ELLIOTT JOLLEY
582 N 1700 W
VERNAL, UT 84078-8200
Phone number:
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