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Organization
KOTHARY PROFESSIONAL DENTAL CORPORATION EZ DENTAL
Active
Organization
KOTHARY PROFESSIONAL DENTAL CORPORATION EZ DENTAL
Active
Other names
EZ Dental Group, EZ DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAPANA KARSAN KOTHARY DDS (OWNER, DENTIST)
(408) 227-6000
Entity
Organization
Contact information
Practice address
5730 COTTLE RD STE 240, SAN JOSE, CA 95123-3764
(408) 227-6000
Mailing address
5669 LA SEYNE PL, SAN JOSE, CA 95138-2240
(408) 266-6144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/07/2019
Last updated
02/25/2021
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