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Organization
UJJWALA DORLIKAR DDS INC
Active
Organization
UJJWALA DORLIKAR DDS INC
Active
Other names
EVERGREEN FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UJJWALA DORLIKAR DDS (CEO)
(408) 455-3788
Entity
Organization
Contact information
Practice address
3151 S WHITE RD STE 204, SAN JOSE, CA 95148-4045
(408) 270-1120
Mailing address
3230 STIMSON WAY, SAN JOSE, CA 95135-1132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CA54865
CA
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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