# DR SRUJAL H SHAH DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spark Sleep Solutions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801286505
- **Authorized official:** SRUJAL HARSHAD SHAH D.D.S. (PRESIDENT)
- **Authorized official phone:** (408) 490-0182

## Contact information

- **Practice address:** 1081 MARKET PL, STE 100, SAN RAMON, CA 94583-4749
- **Practice address phone:** (408) 490-0182
- **Practice address fax:** (408) 624-4545
- **Mailing address:** 6120 HELLYER AVE STE 125, SAN JOSE, CA 95138-1066
- **Mailing address phone:** (408) 490-0182
- **Mailing address fax:** (408) 624-4545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 58754 | CA | Yes |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 02/02/2015
- **Last updated:** 10/16/2023