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Organization
STEPHANIE B LOLLER DDS PC
Active
Organization
STEPHANIE B LOLLER DDS PC
Active
Other names
Inspira Advanced Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE B LOLLER I DDS (OWNER)
(408) 298-0777
Entity
Organization
Contact information
Practice address
891 S BASCOM AVE, SAN JOSE, CA 95128-2627
(408) 298-0777
(408) 298-3143
Mailing address
891 S BASCOM AVE, SAN JOSE, CA 95128-2627
(408) 298-0777
(408) 298-3143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44610
CA
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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