Provider Demographics
NPI:1861598666
Name:JOLIE DENTAL
Entity type:Organization
Organization Name:JOLIE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-897-9977
Mailing Address - Street 1:10311 N ELDRIDGE PKWY
Mailing Address - Street 2:SUITE B-7
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5368
Mailing Address - Country:US
Mailing Address - Phone:281-897-9977
Mailing Address - Fax:281-897-9982
Practice Address - Street 1:10311 N ELDRIDGE PKWY
Practice Address - Street 2:SUITE B-7
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5368
Practice Address - Country:US
Practice Address - Phone:281-897-9977
Practice Address - Fax:281-897-9982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX213841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty