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Organization
SHAH JOLLY DDS DENTAL CORPORATION
Active
Organization
SHAH JOLLY DDS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLLY SHAH DDS (PRESIDENT/DENTIST)
(408) 223-2500
Entity
Organization
Contact information
Practice address
1761 E CAPITOL EXPY, SAN JOSE, CA 95121-1561
(408) 223-2500
(408) 223-5525
Mailing address
44240 REVERE PL, FREMONT, CA 94539-5902
(510) 520-0136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
44775
CA
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
10/12/2022
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