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Organization
JOLLY SHAH, DDS, DENTAL CORPORATION
Active
Organization
JOLLY SHAH, DDS, DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOLLY SHAH DDS (PRESIDENT)
(408) 929-8811
Entity
Organization
Contact information
Practice address
3465 MCKEE RD, SAN JOSE, CA 95127-2233
(408) 929-2808
(408) 929-8822
Mailing address
44240 REVERE PL, FREMONT, CA 94539-5902
(510) 656-7424
(510) 226-7424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
44775
CA
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/17/2015
Last updated
10/12/2022
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