Organization
DR SRUJAL H SHAH DDS INC
Active
Other names
Spark Sleep Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRUJAL HARSHAD SHAH D.D.S. (PRESIDENT)
(408) 490-0182
Entity
Organization
Contact information
Practice address
6120 HELLYER AVE STE 125, SAN JOSE, CA 95138-1066
(408) 490-0182
(408) 624-4545
Mailing address
6120 HELLYER AVE STE 125, SAN JOSE, CA 95138-1066
(408) 490-0182
(408) 624-4545
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
58754
CA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/01/2010
Last updated
10/16/2023
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